Displaying 167901-167910 of 1611142 results.
ID:
167901
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
167902
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
167903
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167904
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167905
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
167906
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
167907
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
167908
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
167909
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
857700
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
28
ID:
167910
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
167901167902167903167904167905167906167907167908167909167910