Displaying 165451-165460 of 1611142 results.
ID:
165451
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
525
Qty Limit Days:
30
ID:
165452
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165453
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165454
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284514
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165455
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165456
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
836358
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165457
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349590
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165458
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165459
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
242754
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165460
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
165451165452165453165454165455165456165457165458165459165460