Displaying 155071-155080 of 1611142 results.
ID:
155071
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155072
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155073
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155074
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155075
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155076
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155077
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155078
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364447
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155079
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
607579
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155080
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1145932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
155071155072155073155074155075155076155077155078155079155080