Displaying 170671-170680 of 1611142 results.
ID:
170671
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170672
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
170673
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170674
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170675
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860491
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
170676
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860493
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
170677
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860495
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
170678
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860497
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
170679
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860499
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
170680
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860501
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
170671170672170673170674170675170676170677170678170679170680