Displaying 159481-159490 of 1611142 results.
ID:
159481
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
159482
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159483
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
905369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159484
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159485
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159486
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159487
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
159488
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
905516
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159489
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
905495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159490
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
159481159482159483159484159485159486159487159488159489159490