Displaying 146501-146510 of 1611142 results.
ID:
146501
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146502
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146503
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
146504
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
146505
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
146506
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
146507
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
146508
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100075
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
146509
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918044
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
146510
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
146501146502146503146504146505146506146507146508146509146510