Displaying 141501-141510 of 1611142 results.
ID:
141501
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207249
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141502
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966820
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141503
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
795918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141504
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
141505
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141506
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
996097
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141507
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141508
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141509
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141510
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
141501141502141503141504141505141506141507141508141509141510