Displaying 148761-148770 of 1611142 results.
ID:
148761
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148762
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148763
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148764
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148765
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148766
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148767
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148768
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148769
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
148770
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
148761148762148763148764148765148766148767148768148769148770