Displaying 63171-63180 of 1611142 results.
ID:
63171
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
213262
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63172
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
545259
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63173
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63174
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63175
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63176
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63177
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63178
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63179
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63180
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1375922
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
63171631726317363174631756317663177631786317963180