Displaying 164671-164680 of 1611142 results.
ID:
164671
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197443
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164672
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099678
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164673
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099870
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164674
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356563
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164675
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356572
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164676
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356576
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164677
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356580
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164678
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164679
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164680
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
164671164672164673164674164675164676164677164678164679164680