Displaying 165351-165360 of 1611142 results.
ID:
165351
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
165352
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165353
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
165354
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
165355
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165356
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165357
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165358
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165359
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165360
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1720616
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
165351165352165353165354165355165356165357165358165359165360