Displaying 164371-164380 of 1611142 results.
ID:
164371
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2396770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
164372
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2396774
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
164373
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
727816
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
164374
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
164375
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370982
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164376
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
809477
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164377
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
164378
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164379
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164380
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
164371164372164373164374164375164376164377164378164379164380