Displaying 142441-142450 of 1611142 results.
ID:
142441
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142442
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
896110
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142443
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
829539
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142444
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142445
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246096
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142446
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142447
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
722111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142448
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
142449
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1376338
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142450
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
142441142442142443142444142445142446142447142448142449142450