Displaying 153011-153020 of 1611142 results.
ID:
153011
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153012
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153013
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153014
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153015
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153016
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153017
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153018
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153019
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861822
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
153020
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
153011153012153013153014153015153016153017153018153019153020