Displaying 149021-149030 of 1611142 results.
ID:
149021
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149022
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149023
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149024
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149025
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149026
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149027
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1314768
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
149028
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
211777
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149029
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149030
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
149021149022149023149024149025149026149027149028149029149030