Displaying 156701-156710 of 1611142 results.
ID:
156701
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
126
Qty Limit Days:
28
ID:
156702
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156703
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156704
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244634
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156705
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156706
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156707
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156708
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
156709
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156710
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
156701156702156703156704156705156706156707156708156709156710