Displaying 150171-150180 of 1611142 results.
ID:
150171
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150172
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150173
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150174
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150175
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
104206
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150176
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309888
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150177
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309889
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150178
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
745752
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150179
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649961
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150180
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593858
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
150171150172150173150174150175150176150177150178150179150180