Displaying 165771-165780 of 1611142 results.
ID:
165771
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
672152
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
165772
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1425230
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165773
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1425228
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165774
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1245003
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165775
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
825425
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165776
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165777
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165778
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
165779
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165780
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
165771165772165773165774165775165776165777165778165779165780