Displaying 164751-164760 of 1611142 results.
ID:
164751
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164752
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164753
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164754
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164755
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164756
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164757
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
867381
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164758
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164759
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164760
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809513
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
164751164752164753164754164755164756164757164758164759164760