Displaying 168201-168210 of 1611142 results.
ID:
168201
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168202
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168203
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
168204
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
168205
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
168206
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
168207
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
168208
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168209
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168210
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
168201168202168203168204168205168206168207168208168209168210