Displaying 163221-163230 of 1611142 results.
ID:
163221
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
584414
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163222
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
857297
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163223
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163224
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
857305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163225
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1596780
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163226
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163227
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163228
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163229
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163230
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
163221163222163223163224163225163226163227163228163229163230