Displaying 148801-148810 of 1611142 results.
ID:
148801
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148802
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148803
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148804
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148805
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
148806
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313941
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148807
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148808
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148809
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313450
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148810
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313451
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
148801148802148803148804148805148806148807148808148809148810