Displaying 63151-63160 of 1611142 results.
ID:
63151
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63152
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63153
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63154
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63155
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
897666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63156
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099288
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63157
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63158
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099304
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63159
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63160
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099292
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
63151631526315363154631556315663157631586315963160