Displaying 169701-169710 of 1611142 results.
ID:
169701
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169702
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169703
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
966787
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
169704
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
966793
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
169705
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169706
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169707
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169708
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
208327
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169709
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
169710
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
169701169702169703169704169705169706169707169708169709169710