Displaying 142481-142490 of 1611142 results.
ID:
142481
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
389242
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142482
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142483
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142484
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1741905
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142485
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142486
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142487
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
751884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142488
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142489
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
700408
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142490
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
142481142482142483142484142485142486142487142488142489142490