Displaying 157401-157410 of 1611142 results.
ID:
157401
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157402
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157403
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157404
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157405
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313142
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157406
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157407
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198108
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157408
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157409
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1020065
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
157410
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
157401157402157403157404157405157406157407157408157409157410