Displaying 170871-170880 of 1611142 results.
ID:
170871
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739766
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170872
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739774
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170873
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173500
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
170874
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170875
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170876
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170877
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170878
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170879
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
170880
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
170871170872170873170874170875170876170877170878170879170880