Displaying 143371-143380 of 1611142 results.
ID:
143371
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143372
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143373
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600774
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143374
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600776
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143375
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600915
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143376
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600917
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143377
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1737789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143378
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
402169
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
143379
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1483679
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
143380
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
143371143372143373143374143375143376143377143378143379143380