Displaying 158681-158690 of 1611142 results.
ID:
158681
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158682
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158683
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158684
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158685
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158686
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158687
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158688
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
756059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158689
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
158690
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3600
Qty Limit Days:
30
158681158682158683158684158685158686158687158688158689158690