Displaying 158061-158070 of 1611142 results.
ID:
158061
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
616402
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158062
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158063
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309098
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158064
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
835572
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158065
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
835591
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158066
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
835577
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158067
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312940
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158068
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309080
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158069
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158070
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197452
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
158061158062158063158064158065158066158067158068158069158070