Displaying 165911-165920 of 1611142 results.
ID:
165911
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165912
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165913
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165914
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368954
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165915
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165916
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165917
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165918
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165919
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165920
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
165911165912165913165914165915165916165917165918165919165920