Displaying 158491-158500 of 1611142 results.
ID:
158491
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1989117
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
158492
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178792
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
158493
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158494
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
158495
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
158496
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
158497
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
158498
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
158499
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
158500
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
158491158492158493158494158495158496158497158498158499158500