Displaying 170011-170020 of 1611142 results.
ID:
170011
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170012
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
628953
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170013
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
381056
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170014
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
206842
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170015
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
562251
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170016
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
617995
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170017
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
198316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170018
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
359296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170019
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
308212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170020
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
403810
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
170011170012170013170014170015170016170017170018170019170020