Displaying 161001-161010 of 1611142 results.
ID:
161001
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161002
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161003
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161004
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161005
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161006
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161007
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161008
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161009
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161010
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
161001161002161003161004161005161006161007161008161009161010