Displaying 168471-168480 of 1611142 results.
ID:
168471
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168472
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168473
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168474
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168475
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168476
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168477
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
168478
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1996246
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168479
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
859081
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
168480
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
846192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
168471168472168473168474168475168476168477168478168479168480