Displaying 168671-168680 of 1611142 results.
ID:
168671
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1245919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168672
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168673
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168674
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168675
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168676
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168677
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168678
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
857216
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168679
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
857224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168680
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
861512
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
125
Qty Limit Days:
28
168671168672168673168674168675168676168677168678168679168680