Displaying 157271-157280 of 1611142 results.
ID:
157271
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
205330
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
157272
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
205331
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
157273
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157274
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157275
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157276
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157277
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157278
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157279
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157280
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
157271157272157273157274157275157276157277157278157279157280