Displaying 154481-154490 of 1611142 results.
ID:
154481
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154482
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154483
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
727714
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
154484
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154485
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
242120
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154486
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154487
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
628958
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154488
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154489
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
154490
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
154481154482154483154484154485154486154487154488154489154490