Displaying 165681-165690 of 1611142 results.
ID:
165681
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2057212
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165682
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2057219
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165683
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
165684
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165685
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2469340
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165686
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165687
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165688
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165689
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165690
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
165681165682165683165684165685165686165687165688165689165690