Displaying 144821-144830 of 1611142 results.
ID:
144821
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144822
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144823
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144824
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
903873
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
144825
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
903879
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
144826
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
892342
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
144827
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
892349
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
144828
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
892355
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
144829
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
892297
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
144830
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
894942
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
144821144822144823144824144825144826144827144828144829144830