Displaying 142621-142630 of 1611142 results.
ID:
142621
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142622
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142623
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142624
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142625
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142626
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142627
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142628
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142629
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142630
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
142621142622142623142624142625142626142627142628142629142630