Displaying 131061-131070 of 1611142 results.
ID:
131061
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131062
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131063
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131064
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
131065
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131066
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
131067
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131068
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131069
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131070
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
131061131062131063131064131065131066131067131068131069131070