Displaying 160761-160770 of 1611142 results.
ID:
160761
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160762
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160763
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160764
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160765
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160766
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160767
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
160768
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
160769
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
160770
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
160761160762160763160764160765160766160767160768160769160770