Displaying 163301-163310 of 1611142 results.
ID:
163301
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
163302
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
163303
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
163304
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
163305
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
163306
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163307
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163308
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312357
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163309
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163310
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2106334
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
163301163302163303163304163305163306163307163308163309163310