Displaying 167801-167810 of 1611142 results.
ID:
167801
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
167802
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2054995
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167803
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
809477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167804
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167805
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167806
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167807
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167808
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
205918
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167809
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
205922
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167810
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
205924
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
167801167802167803167804167805167806167807167808167809167810