Displaying 156301-156310 of 1611142 results.
ID:
156301
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
808748
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156302
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156303
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
156304
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156305
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
643070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156306
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
212438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156307
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
212437
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156308
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
284496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156309
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197848
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156310
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
156301156302156303156304156305156306156307156308156309156310