Displaying 164801-164810 of 1611142 results.
ID:
164801
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164802
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164803
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
164804
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164805
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2266506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164806
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164807
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164808
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164809
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164810
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
164801164802164803164804164805164806164807164808164809164810