Displaying 140011-140020 of 1611142 results.
ID:
140011
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
140012
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
140013
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
140014
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
140015
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047247
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140016
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2256947
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
140017
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
404711
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140018
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
762660
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140019
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140020
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2256943
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
140011140012140013140014140015140016140017140018140019140020