Displaying 167101-167110 of 1611142 results.
ID:
167101
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
597984
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167102
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
597993
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167103
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
597967
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167104
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
597980
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167105
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
597974
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167106
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
597987
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167107
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
597977
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167108
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
597971
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167109
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167110
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
167101167102167103167104167105167106167107167108167109167110