Displaying 151001-151010 of 1611142 results.
ID:
151001
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151002
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
992438
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151003
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151004
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151005
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151006
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151007
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
686924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151008
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
200032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151009
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
151010
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738483
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
151001151002151003151004151005151006151007151008151009151010