Displaying 168001-168010 of 1611142 results.
ID:
168001
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1006120
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168002
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2260709
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168003
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197310
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168004
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
309045
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168005
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197449
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168006
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
212039
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168007
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
212232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168008
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
212373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168009
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168010
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
168001168002168003168004168005168006168007168008168009168010