Displaying 168601-168610 of 1611142 results.
ID:
168601
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168602
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168603
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
168604
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
168605
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
312817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168606
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
310245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168607
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
359500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168608
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168609
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168610
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
168601168602168603168604168605168606168607168608168609168610