Displaying 167091-167100 of 1611142 results.
ID:
167091
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167092
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167093
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167094
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167095
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167096
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167097
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167098
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
404013
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167099
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
404011
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167100
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
597990
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
167091167092167093167094167095167096167097167098167099167100