Displaying 166351-166360 of 1611142 results.
ID:
166351
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166352
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
166353
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166354
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166355
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166356
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166357
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1606490
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
166358
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
859983
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
166359
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
859979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
166360
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
166351166352166353166354166355166356166357166358166359166360