Displaying 161911-161920 of 1611142 results.
ID:
161911
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
483450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161912
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
483438
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161913
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
483440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161914
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
483444
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161915
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2178403
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
161916
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
161917
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
161918
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
28
ID:
161919
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
161920
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
161911161912161913161914161915161916161917161918161919161920