Displaying 158711-158720 of 1611142 results.
ID:
158711
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158712
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158713
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
207850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158714
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158715
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
208821
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158716
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158717
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158718
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307630
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
158719
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307635
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158720
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243010
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
158711158712158713158714158715158716158717158718158719158720