Displaying 150871-150880 of 1611142 results.
ID:
150871
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312745
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150872
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
616483
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150873
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312743
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
150874
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
637173
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150875
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312840
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
150876
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314209
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
150877
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150878
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197805
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150879
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197806
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150880
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197807
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
150871150872150873150874150875150876150877150878150879150880