Displaying 164701-164710 of 1611142 results.
ID:
164701
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1726639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164702
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364362
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164703
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364358
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164704
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2473042
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164705
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164706
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164707
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164708
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164709
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164710
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
164701164702164703164704164705164706164707164708164709164710