Displaying 165301-165310 of 1611142 results.
ID:
165301
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
315090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165302
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165303
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165304
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
165305
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165306
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165307
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165308
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165309
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165310
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
165301165302165303165304165305165306165307165308165309165310