Displaying 168801-168810 of 1611142 results.
ID:
168801
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
168802
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
168803
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1666542
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168804
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168805
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168806
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168807
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168808
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168809
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
168810
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1872458
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
168801168802168803168804168805168806168807168808168809168810