Displaying 85161-85170 of 1611142 results.
ID:
85161
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
85162
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
85163
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
85164
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
7
ID:
85165
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
861353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85166
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85167
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85168
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85169
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85170
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
85161851628516385164851658516685167851688516985170