Displaying 170021-170030 of 1611142 results.
ID:
170021
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
403811
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170022
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806195
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170023
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806179
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170024
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170025
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
308191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170026
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
170027
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
864110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170028
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
854302
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170029
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
170030
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657173
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
170021170022170023170024170025170026170027170028170029170030