Displaying 170461-170470 of 1611142 results.
ID:
170461
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170462
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170463
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170464
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170465
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170466
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170467
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170468
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170469
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170470
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
170461170462170463170464170465170466170467170468170469170470