Displaying 147681-147690 of 1611142 results.
ID:
147681
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
147682
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659161
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
147683
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467571
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147684
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467575
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147685
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147686
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
147687
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
147688
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1247381
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147689
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147690
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
147681147682147683147684147685147686147687147688147689147690