Displaying 160881-160890 of 1611142 results.
ID:
160881
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
809477
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160882
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160883
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160884
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160885
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160886
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
205918
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160887
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
205922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160888
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
205924
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160889
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160890
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
212219
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
160881160882160883160884160885160886160887160888160889160890