Displaying 171971-171980 of 1611142 results.
ID:
171971
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197453
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171972
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171973
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171974
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
171975
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
171976
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
171977
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
171978
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171979
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
311354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
171980
Formulary ID:
00021071
Formulary Version:
14
Contract Year:
2021
RXCUI:
197884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
171971171972171973171974171975171976171977171978171979171980