Displaying 163211-163220 of 1611142 results.
ID:
163211
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
163212
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
163213
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163214
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163215
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163216
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163217
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163218
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163219
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163220
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
163211163212163213163214163215163216163217163218163219163220