Displaying 133201-133210 of 1611142 results.
ID:
133201
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133202
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133203
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133204
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490065
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133205
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
199058
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133206
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
596843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133207
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
308868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133208
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
403879
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
133209
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
476556
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133210
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197535
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
133201133202133203133204133205133206133207133208133209133210