Displaying 132241-132250 of 1611142 results.
ID:
132241
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490040
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
132242
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
351156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132243
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132244
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132245
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132246
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861365
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132247
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132248
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1737244
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132249
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1737581
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132250
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049891
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
132241132242132243132244132245132246132247132248132249132250