Displaying 153891-153900 of 1611142 results.
ID:
153891
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
153892
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
153893
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153894
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153895
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153896
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153897
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153898
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153899
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153900
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
153891153892153893153894153895153896153897153898153899153900