Displaying 158671-158680 of 1611142 results.
ID:
158671
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3900
Qty Limit Days:
30
ID:
158672
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158673
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
158674
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
900575
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
158675
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
977427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158676
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
977434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158677
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
977438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158678
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1304979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158679
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
892625
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
158680
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311355
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
158671158672158673158674158675158676158677158678158679158680