Displaying 165371-165380 of 1611142 results.
ID:
165371
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165372
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165373
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165374
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165375
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165376
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165377
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165378
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1599841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165379
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165380
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
165371165372165373165374165375165376165377165378165379165380