Displaying 158601-158610 of 1611142 results.
ID:
158601
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
762897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158602
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011987
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158603
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158604
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000089
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158605
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190955
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158606
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190957
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158607
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158608
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158609
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158610
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
158601158602158603158604158605158606158607158608158609158610