Displaying 153671-153680 of 1611142 results.
ID:
153671
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153672
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
153673
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
900156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153674
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153675
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153676
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153677
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
240984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153678
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153679
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153680
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659149
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
153671153672153673153674153675153676153677153678153679153680