Displaying 142051-142060 of 1611142 results.
ID:
142051
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
25
ID:
142052
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142053
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142054
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
602427
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142055
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
141859
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142056
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085736
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142057
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142058
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142059
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244634
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142060
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
142051142052142053142054142055142056142057142058142059142060