Displaying 167861-167870 of 1611142 results.
ID:
167861
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167862
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167863
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307427
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
30
ID:
167864
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167865
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
861416
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167866
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167867
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167868
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
167869
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
167870
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
167861167862167863167864167865167866167867167868167869167870