Displaying 143031-143040 of 1611142 results.
ID:
143031
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143032
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143033
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143034
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143035
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143036
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143037
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143038
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
849827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143039
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143040
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
143031143032143033143034143035143036143037143038143039143040