Displaying 171401-171410 of 1611142 results.
ID:
171401
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
171402
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
992395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171403
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
607295
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171404
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171405
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171406
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171407
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
731541
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171408
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
836307
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171409
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171410
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
731568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
171401171402171403171404171405171406171407171408171409171410