Displaying 164951-164960 of 1611142 results.
ID:
164951
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861650
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164952
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861654
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164953
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164954
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164955
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164956
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164957
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164958
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164959
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164960
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
164951164952164953164954164955164956164957164958164959164960