Displaying 144101-144110 of 1611142 results.
ID:
144101
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144102
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144103
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1661799
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
144104
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1599841
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144105
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
307732
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144106
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2044928
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
144107
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2044932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
144108
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
144109
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2045959
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144110
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2045961
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
144101144102144103144104144105144106144107144108144109144110