Displaying 140261-140270 of 1611142 results.
ID:
140261
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207850
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140262
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140263
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
208821
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140264
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011080
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140265
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
213307
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140266
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
211020
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140267
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
213320
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140268
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
804547
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140269
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307630
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140270
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307635
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
140261140262140263140264140265140266140267140268140269140270