Displaying 150061-150070 of 1611142 results.
ID:
150061
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
ID:
150062
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150063
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150064
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150065
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
450
Qty Limit Days:
30
ID:
150066
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
150067
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
150068
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
727537
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150069
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1991509
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150070
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
858125
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
150061150062150063150064150065150066150067150068150069150070