Displaying 143081-143090 of 1611142 results.
ID:
143081
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
143082
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143083
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143084
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143085
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143086
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000647
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143087
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143088
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143089
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143090
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
831109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
143081143082143083143084143085143086143087143088143089143090