Displaying 164001-164010 of 1611142 results.
ID:
164001
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1193353
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164002
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2359344
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164003
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2359348
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164004
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2359340
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164005
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2361300
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
164006
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2361296
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
164007
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243052
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164008
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606866
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164009
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606870
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164010
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
164001164002164003164004164005164006164007164008164009164010