Displaying 153501-153510 of 1611142 results.
ID:
153501
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153502
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153503
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153504
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153505
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153506
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153507
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310247
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153508
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
834348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153509
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370767
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153510
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
153501153502153503153504153505153506153507153508153509153510