Displaying 146701-146710 of 1611142 results.
ID:
146701
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
260218
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
146702
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
205324
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
146703
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
146704
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
146705
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
146706
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
485486
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146707
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
485485
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146708
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
485484
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146709
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146710
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
146701146702146703146704146705146706146707146708146709146710