Displaying 159171-159180 of 1611142 results.
ID:
159171
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
800928
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159172
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
800812
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159173
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1189640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159174
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
800933
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159175
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
207273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159176
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437709
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159177
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001321
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159178
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159179
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159180
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
159171159172159173159174159175159176159177159178159179159180