Displaying 164601-164610 of 1611142 results.
ID:
164601
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1939335
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164602
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164603
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
315183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164604
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
831226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164605
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
831255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164606
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
831309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164607
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
831338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164608
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
831196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164609
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
831248
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164610
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
831300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
164601164602164603164604164605164606164607164608164609164610