Displaying 158401-158410 of 1611142 results.
ID:
158401
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2045958
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158402
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2059189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158403
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
158404
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
158405
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
158406
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
158407
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158408
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158409
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
158410
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
158401158402158403158404158405158406158407158408158409158410