Displaying 168551-168560 of 1611142 results.
ID:
168551
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168552
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168553
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
168554
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168555
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
642452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168556
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
602635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168557
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736654
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168558
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736656
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168559
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1806683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168560
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1806684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
168551168552168553168554168555168556168557168558168559168560