Displaying 148301-148310 of 1611142 results.
ID:
148301
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
835809
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148302
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649988
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148303
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148304
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148305
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
239191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148306
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665052
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148307
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148308
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665449
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148309
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148310
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
148301148302148303148304148305148306148307148308148309148310