Displaying 143551-143560 of 1611142 results.
ID:
143551
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143552
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143553
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1856424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143554
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143555
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
849450
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
28
ID:
143556
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143557
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143558
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143559
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
485442
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143560
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
143551143552143553143554143555143556143557143558143559143560