Displaying 159501-159510 of 1611142 results.
ID:
159501
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159502
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159503
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159504
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159505
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159506
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159507
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159508
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159509
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159510
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
159501159502159503159504159505159506159507159508159509159510