Displaying 164101-164110 of 1611142 results.
ID:
164101
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164102
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
164103
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
164104
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
164105
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164106
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164107
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164108
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164109
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164110
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856481
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
164101164102164103164104164105164106164107164108164109164110