Displaying 162271-162280 of 1611142 results.
ID:
162271
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1855527
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162272
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162273
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162274
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1726846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162275
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
847745
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
162276
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1872980
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162277
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1747577
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162278
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1747579
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162279
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1747567
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
162280
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1747580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
162271162272162273162274162275162276162277162278162279162280