Displaying 142081-142090 of 1611142 results.
ID:
142081
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597126
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142082
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142083
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142084
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
142085
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142086
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142087
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191307
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142088
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142089
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142090
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197575
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
142081142082142083142084142085142086142087142088142089142090