Displaying 147101-147110 of 1611142 results.
ID:
147101
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
979480
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147102
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
248109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147103
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
314108
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147104
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
311290
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147105
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
854984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147106
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
854988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147107
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
854925
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147108
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
857166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147109
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
857174
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147110
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
904431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
147101147102147103147104147105147106147107147108147109147110