Displaying 132091-132100 of 1611142 results.
ID:
132091
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132092
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132093
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132094
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132095
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132096
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132097
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132098
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
750
Qty Limit Days:
30
ID:
132099
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
132100
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
132091132092132093132094132095132096132097132098132099132100