Displaying 158201-158210 of 1611142 results.
ID:
158201
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158202
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
151029
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158203
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311265
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158204
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311264
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158205
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
897649
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158206
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
349594
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158207
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
349595
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158208
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158209
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158210
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
158201158202158203158204158205158206158207158208158209158210