Displaying 159891-159900 of 1611142 results.
ID:
159891
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
159892
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159893
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159894
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159895
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159896
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159897
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159898
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159899
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159900
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
159891159892159893159894159895159896159897159898159899159900