Displaying 150261-150270 of 1611142 results.
ID:
150261
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150262
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198108
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150263
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150264
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150265
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855626
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150266
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150267
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150268
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150269
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150270
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
150261150262150263150264150265150266150267150268150269150270