Displaying 148011-148020 of 1611142 results.
ID:
148011
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148012
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
148013
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313887
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148014
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148015
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
207331
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148016
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
207346
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148017
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
207361
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148018
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148019
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855871
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148020
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1855527
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
148011148012148013148014148015148016148017148018148019148020