Displaying 162141-162150 of 1611142 results.
ID:
162141
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
991722
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162142
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162143
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162144
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162145
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
393245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162146
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162147
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162148
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162149
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162150
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
162141162142162143162144162145162146162147162148162149162150