Displaying 164351-164360 of 1611142 results.
ID:
164351
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
854852
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164352
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
854848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164353
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
854844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164354
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164355
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164356
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164357
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
404450
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164358
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242233
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164359
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
616116
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164360
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
616114
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
164351164352164353164354164355164356164357164358164359164360