Displaying 159971-159980 of 1611142 results.
ID:
159971
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159972
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
754512
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159973
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
686405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159974
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
863603
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159975
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2361313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159976
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1293504
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159977
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149378
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159978
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159979
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159980
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149367
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
159971159972159973159974159975159976159977159978159979159980