Displaying 149101-149110 of 1611142 results.
ID:
149101
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149102
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149103
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149104
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149105
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149106
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149107
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
730866
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149108
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
730861
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149109
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
730872
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149110
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
149101149102149103149104149105149106149107149108149109149110