Displaying 140871-140880 of 1611142 results.
ID:
140871
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
242816
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140872
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140873
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140874
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140875
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
805131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140876
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
801648
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140877
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1863973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140878
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
630796
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140879
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1863605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140880
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
615099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
140871140872140873140874140875140876140877140878140879140880