Displaying 170781-170790 of 1611142 results.
ID:
170781
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
212381
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170782
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170783
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170784
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2107008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170785
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1550536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170786
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2106997
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170787
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1660690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170788
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
314106
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170789
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
311681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170790
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
856377
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
170781170782170783170784170785170786170787170788170789170790