Displaying 151351-151360 of 1611142 results.
ID:
151351
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151352
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
242754
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151353
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151354
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
207373
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151355
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245268
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
151356
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151357
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
403914
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151358
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
885209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151359
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922765
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151360
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922763
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
151351151352151353151354151355151356151357151358151359151360