Displaying 159791-159800 of 1611142 results.
ID:
159791
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159792
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091133
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
159793
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159794
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1483329
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
159795
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1012017
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159796
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159797
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159798
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010603
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159799
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307058
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159800
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010606
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
159791159792159793159794159795159796159797159798159799159800