Displaying 159301-159310 of 1611142 results.
ID:
159301
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159302
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
606726
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159303
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
606730
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159304
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159305
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159306
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159307
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159308
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855863
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159309
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159310
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
159301159302159303159304159305159306159307159308159309159310