Displaying 148901-148910 of 1611142 results.
ID:
148901
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148902
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
702519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148903
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314182
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148904
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
885219
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148905
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
885213
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148906
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049635
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
148907
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148908
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199167
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148909
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148910
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
763181
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
148901148902148903148904148905148906148907148908148909148910