Displaying 161351-161360 of 1611142 results.
ID:
161351
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161352
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1920
Qty Limit Days:
30
ID:
161353
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
161354
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161355
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161356
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161357
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309078
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161358
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
161359
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161360
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
200033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
161351161352161353161354161355161356161357161358161359161360