Displaying 145001-145010 of 1611142 results.
ID:
145001
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
606730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145002
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145003
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145004
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145005
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145006
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
618552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145007
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145008
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145009
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536586
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145010
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
145001145002145003145004145005145006145007145008145009145010