Displaying 162101-162110 of 1611142 results.
ID:
162101
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190957
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162102
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162103
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162104
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162105
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162106
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162107
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162108
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
153579
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162109
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
153580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162110
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
162101162102162103162104162105162106162107162108162109162110