Displaying 143931-143940 of 1611142 results.
ID:
143931
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143932
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
830877
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143933
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
830879
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143934
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
830882
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143935
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143936
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
245723
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143937
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200220
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143938
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143939
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143940
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
830837
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
143931143932143933143934143935143936143937143938143939143940