Displaying 166801-166810 of 1611142 results.
ID:
166801
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
166802
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
166803
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
166804
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
166805
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
166806
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166807
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166808
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
166809
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
166810
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
166801166802166803166804166805166806166807166808166809166810