Displaying 158751-158760 of 1611142 results.
ID:
158751
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158752
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158753
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047602
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158754
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047608
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158755
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158756
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158757
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158758
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158759
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102464
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158760
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
158751158752158753158754158755158756158757158758158759158760