Displaying 167751-167760 of 1611142 results.
ID:
167751
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
901518
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167752
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
830463
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167753
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601407
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167754
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
809159
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
167755
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
802652
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
167756
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653225
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
167757
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2182340
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
167758
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
167759
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
167760
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1547231
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
167751167752167753167754167755167756167757167758167759167760