Displaying 167471-167480 of 1611142 results.
ID:
167471
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167472
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
167473
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
167474
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
167475
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167476
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
85
Qty Limit Days:
28
ID:
167477
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167478
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
167479
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167480
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
167471167472167473167474167475167476167477167478167479167480