Displaying 158771-158780 of 1611142 results.
ID:
158771
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
207331
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158772
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
207346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158773
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
207361
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158774
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158775
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855871
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158776
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1855527
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158777
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158778
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158779
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1726846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158780
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
847745
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
158771158772158773158774158775158776158777158778158779158780