Displaying 163101-163110 of 1611142 results.
ID:
163101
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163102
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163103
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
163104
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163105
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163106
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1100706
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163107
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163108
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163109
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163110
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243033
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
163101163102163103163104163105163106163107163108163109163110