Displaying 160791-160800 of 1611142 results.
ID:
160791
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1100075
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160792
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160793
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160794
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160795
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160796
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160797
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160798
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539248
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160799
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
160800
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
829989
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
160791160792160793160794160795160796160797160798160799160800