Displaying 167681-167690 of 1611142 results.
ID:
167681
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167682
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
858125
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167683
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
858127
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167684
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167685
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167686
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167687
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167688
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167689
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167690
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
167681167682167683167684167685167686167687167688167689167690