Displaying 156801-156810 of 1611142 results.
ID:
156801
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156802
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
156803
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
156804
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2001430
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156805
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156806
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2043464
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156807
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246321
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156808
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156809
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156810
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
156801156802156803156804156805156806156807156808156809156810