Displaying 63161-63170 of 1611142 results.
ID:
63161
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099296
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63162
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63163
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63164
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
309044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63165
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313888
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63166
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
309042
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63167
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63168
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63169
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63170
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
25
63161631626316363164631656316663167631686316963170