Displaying 157471-157480 of 1611142 results.
ID:
157471
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157472
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797865
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
34
Qty Limit Days:
30
ID:
157473
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
157474
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157475
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157476
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157477
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
260218
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157478
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
205324
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
157479
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157480
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
157471157472157473157474157475157476157477157478157479157480