Displaying 131901-131910 of 1611142 results.
ID:
131901
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
831300
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131902
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
831325
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131903
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
831349
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131904
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131905
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801294
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131906
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1044591
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131907
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131908
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311197
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131909
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131910
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
131901131902131903131904131905131906131907131908131909131910