Displaying 164261-164270 of 1611142 results.
ID:
164261
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164262
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
164263
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
164264
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
164265
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164266
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164267
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164268
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164269
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164270
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
164261164262164263164264164265164266164267164268164269164270