Displaying 153561-153570 of 1611142 results.
ID:
153561
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653433
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153562
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153563
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153564
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153565
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153566
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
153567
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
153568
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359127
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153569
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359124
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153570
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
153561153562153563153564153565153566153567153568153569153570