Displaying 150681-150690 of 1611142 results.
ID:
150681
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150682
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150683
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150684
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
750
Qty Limit Days:
30
ID:
150685
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
150686
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
150687
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
825134
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
150688
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
150689
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150690
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
150681150682150683150684150685150686150687150688150689150690