Displaying 158801-158810 of 1611142 results.
ID:
158801
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115473
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158802
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946522
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158803
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966271
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158804
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
727705
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158805
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1655728
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158806
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158807
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158808
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158809
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966247
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158810
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966171
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
158801158802158803158804158805158806158807158808158809158810