Displaying 149261-149270 of 1611142 results.
ID:
149261
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
863603
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149262
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2361313
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149263
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1293504
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149264
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149378
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149265
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
149266
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
149267
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149367
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
149268
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
149269
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
149270
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
149261149262149263149264149265149266149267149268149269149270