Displaying 132871-132880 of 1611142 results.
ID:
132871
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132872
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
132873
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132874
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
477234
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132875
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
199519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132876
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132877
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132878
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132879
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1500
Qty Limit Days:
30
ID:
132880
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3900
Qty Limit Days:
30
132871132872132873132874132875132876132877132878132879132880