Displaying 171801-171810 of 1611142 results.
ID:
171801
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171802
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171803
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171804
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171805
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171806
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
171807
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171808
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171809
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171810
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
171801171802171803171804171805171806171807171808171809171810