Displaying 158011-158020 of 1611142 results.
ID:
158011
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
314209
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
158012
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
199206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158013
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158014
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158015
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197807
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158016
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158017
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
158018
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
158019
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158020
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
158011158012158013158014158015158016158017158018158019158020