Displaying 163201-163210 of 1611142 results.
ID:
163201
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163202
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163203
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163204
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163205
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
745302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163206
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
163207
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163208
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163209
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
163210
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
163201163202163203163204163205163206163207163208163209163210