Displaying 164501-164510 of 1611142 results.
ID:
164501
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164502
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164503
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164504
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164505
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164506
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164507
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164508
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164509
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
731541
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164510
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
836307
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
164501164502164503164504164505164506164507164508164509164510