Displaying 150891-150900 of 1611142 results.
ID:
150891
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150892
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150893
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
150894
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
150895
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
150896
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597620
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150897
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150898
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1996246
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150899
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
859081
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
150900
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486691
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
150891150892150893150894150895150896150897150898150899150900