Displaying 154301-154310 of 1611142 results.
ID:
154301
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154302
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600774
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154303
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600776
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154304
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600915
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154305
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600917
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154306
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1737789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154307
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
154308
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
ID:
154309
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
730834
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154310
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
543492
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
154301154302154303154304154305154306154307154308154309154310