Displaying 148261-148270 of 1611142 results.
ID:
148261
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148262
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870230
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
148263
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
148264
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
242831
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148265
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
239239
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148266
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856605
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148267
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
903857
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148268
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856656
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148269
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856660
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148270
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856652
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
148261148262148263148264148265148266148267148268148269148270