Displaying 157701-157710 of 1611142 results.
ID:
157701
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157702
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157703
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
157704
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157705
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157706
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
157707
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
157708
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
157709
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1726639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157710
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
157701157702157703157704157705157706157707157708157709157710