Displaying 150931-150940 of 1611142 results.
ID:
150931
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150932
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150933
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150934
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150935
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150936
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150937
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311354
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150938
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197884
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150939
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197885
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150940
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197886
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
150931150932150933150934150935150936150937150938150939150940