Displaying 150901-150910 of 1611142 results.
ID:
150901
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111020
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150902
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653221
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150903
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150904
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150905
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150906
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150907
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150908
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150909
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150910
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
828373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
150901150902150903150904150905150906150907150908150909150910