Displaying 170851-170860 of 1611142 results.
ID:
170851
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545159
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
170852
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545156
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
170853
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170854
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170855
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170856
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170857
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170858
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170859
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170860
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
170851170852170853170854170855170856170857170858170859170860