Displaying 159801-159810 of 1611142 results.
ID:
159801
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307063
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159802
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159803
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
159804
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159805
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159806
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
159807
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
159808
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
159809
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
159810
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
159801159802159803159804159805159806159807159808159809159810