Displaying 154361-154370 of 1611142 results.
ID:
154361
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154362
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154363
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154364
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
180
ID:
154365
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861743
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154366
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861748
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154367
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154368
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154369
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309078
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154370
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
154361154362154363154364154365154366154367154368154369154370