Displaying 162671-162680 of 1611142 results.
ID:
162671
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437709
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162672
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001321
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162673
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162674
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162675
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162676
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2289424
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
162677
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2289428
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162678
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162679
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162680
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
162671162672162673162674162675162676162677162678162679162680