Displaying 153301-153310 of 1611142 results.
ID:
153301
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
153302
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
153303
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
153304
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153305
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153306
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153307
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153308
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153309
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153310
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
153301153302153303153304153305153306153307153308153309153310