Displaying 164011-164020 of 1611142 results.
ID:
164011
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164012
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
164013
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
164014
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
164015
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
904447
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164016
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
284592
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164017
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
284594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164018
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
284593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164019
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
284595
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164020
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
164011164012164013164014164015164016164017164018164019164020