Displaying 163401-163410 of 1611142 results.
ID:
163401
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163402
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163403
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
485020
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163404
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163405
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163406
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163407
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163408
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163409
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163410
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
163401163402163403163404163405163406163407163408163409163410