Displaying 155281-155290 of 1611142 results.
ID:
155281
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747567
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155282
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747580
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
30
ID:
155283
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
155284
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
155285
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
180
ID:
155286
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155287
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
155288
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2196900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155289
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
180
ID:
155290
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1541594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
155281155282155283155284155285155286155287155288155289155290