Displaying 150671-150680 of 1611142 results.
ID:
150671
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150672
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150673
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150674
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
150675
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150676
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150677
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150678
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150679
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150680
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
150671150672150673150674150675150676150677150678150679150680