Displaying 158501-158510 of 1611142 results.
ID:
158501
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
158502
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
158503
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158504
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158505
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158506
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2180671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158507
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158508
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
865098
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158509
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
752388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158510
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
731281
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
158501158502158503158504158505158506158507158508158509158510