Displaying 164111-164120 of 1611142 results.
ID:
164111
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164112
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1014673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164113
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
866144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164114
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164115
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164116
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164117
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164118
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164119
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164120
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
164111164112164113164114164115164116164117164118164119164120