Displaying 164281-164290 of 1611142 results.
ID:
164281
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164282
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
848164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164283
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164284
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482814
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164285
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164286
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1100075
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
164287
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164288
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164289
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
164290
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
164281164282164283164284164285164286164287164288164289164290