Displaying 159601-159610 of 1611142 results.
ID:
159601
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159602
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159603
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
380
Qty Limit Days:
30
ID:
159604
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159605
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
20
ID:
159606
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159607
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159608
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
159609
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159610
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
159601159602159603159604159605159606159607159608159609159610