Displaying 167891-167900 of 1611142 results.
ID:
167891
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167892
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167893
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167894
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167895
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167896
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167897
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167898
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167899
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167900
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
167891167892167893167894167895167896167897167898167899167900