Displaying 147771-147780 of 1611142 results.
ID:
147771
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
213282
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147772
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147773
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147774
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
147775
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147776
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
147777
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547575
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147778
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547110
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147779
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
147780
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
147771147772147773147774147775147776147777147778147779147780