Displaying 154801-154810 of 1611142 results.
ID:
154801
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154802
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154803
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
904396
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154804
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154805
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154806
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154807
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154808
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154809
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
485423
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154810
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
485421
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
154801154802154803154804154805154806154807154808154809154810