Displaying 168011-168020 of 1611142 results.
ID:
168011
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168012
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242611
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168013
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242613
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168014
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1663728
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168015
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168016
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168017
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653792
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
168018
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1719766
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
168019
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
168020
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
168011168012168013168014168015168016168017168018168019168020