Displaying 159041-159050 of 1611142 results.
ID:
159041
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159042
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159043
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1550940
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159044
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1655960
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159045
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859824
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159046
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309101
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159047
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
835840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159048
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
835809
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159049
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159050
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
159041159042159043159044159045159046159047159048159049159050