Displaying 153601-153610 of 1611142 results.
ID:
153601
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153602
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153603
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153604
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153605
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1495316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153606
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1998631
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153607
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2179635
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
153608
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153609
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
558
Qty Limit Days:
31
ID:
153610
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870950
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
153601153602153603153604153605153606153607153608153609153610