Displaying 143501-143510 of 1611142 results.
ID:
143501
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143502
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143503
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143504
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143505
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
849398
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143506
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
849431
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143507
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861783
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
143508
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143509
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143510
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
143501143502143503143504143505143506143507143508143509143510