Displaying 131721-131730 of 1611142 results.
ID:
131721
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131722
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131723
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131724
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131725
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131726
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
131727
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131728
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131729
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000153
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131730
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
131721131722131723131724131725131726131727131728131729131730