Displaying 160291-160300 of 1611142 results.
ID:
160291
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
780
Qty Limit Days:
30
ID:
160292
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160293
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160294
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160295
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160296
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1435115
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
160297
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099808
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160298
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1484296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160299
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
160300
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
160291160292160293160294160295160296160297160298160299160300