Displaying 168691-168700 of 1611142 results.
ID:
168691
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1053697
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
168692
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168693
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168694
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168695
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168696
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168697
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
168698
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168699
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
260260
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168700
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
168691168692168693168694168695168696168697168698168699168700