Displaying 166301-166310 of 1611142 results.
ID:
166301
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
166302
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
166303
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166304
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166305
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166306
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166307
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
166308
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
166309
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
166310
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
166301166302166303166304166305166306166307166308166309166310