Displaying 147901-147910 of 1611142 results.
ID:
147901
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
147902
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147903
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
147904
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147905
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
477234
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147906
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147907
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147908
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147909
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147910
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1500
Qty Limit Days:
30
147901147902147903147904147905147906147907147908147909147910