Displaying 171001-171010 of 1611142 results.
ID:
171001
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171002
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
171003
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
171004
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359127
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171005
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171006
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359124
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171007
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171008
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171009
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171010
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
171001171002171003171004171005171006171007171008171009171010