Displaying 159681-159690 of 1611142 results.
ID:
159681
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1101932
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159682
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159683
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
159684
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657173
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
159685
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657160
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
159686
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159687
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
159688
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159689
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159690
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
159681159682159683159684159685159686159687159688159689159690