Displaying 156531-156540 of 1611142 results.
ID:
156531
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156532
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156533
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156534
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156535
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156536
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156537
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156538
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
156539
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
156540
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
156531156532156533156534156535156536156537156538156539156540