Displaying 164771-164780 of 1611142 results.
ID:
164771
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164772
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
794641
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164773
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
617768
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164774
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164775
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164776
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164777
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
164778
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
164779
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
164780
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600774
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
164771164772164773164774164775164776164777164778164779164780