Displaying 159101-159110 of 1611142 results.
ID:
159101
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1720606
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
159102
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648789
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159103
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1945048
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159104
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2045382
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159105
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2170993
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
159106
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2173822
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
159107
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159108
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
213557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159109
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159110
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
159101159102159103159104159105159106159107159108159109159110