Displaying 149401-149410 of 1611142 results.
ID:
149401
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149402
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149403
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
984105
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149404
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149405
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149406
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149407
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149408
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149409
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149410
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
149401149402149403149404149405149406149407149408149409149410