Displaying 164691-164700 of 1611142 results.
ID:
164691
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164692
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
164693
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
164694
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164695
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
164696
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164697
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164698
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
164699
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
164700
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
164691164692164693164694164695164696164697164698164699164700