Displaying 152821-152830 of 1611142 results.
ID:
152821
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152822
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
721791
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152823
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
721794
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152824
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
721796
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152825
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
895670
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152826
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152827
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152828
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
152829
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
152830
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
310
Qty Limit Days:
31
152821152822152823152824152825152826152827152828152829152830