Displaying 133471-133480 of 1611142 results.
ID:
133471
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
ID:
133472
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
133473
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197505
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133474
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133475
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133476
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
133477
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197436
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
133478
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197437
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133479
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197438
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
133480
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197439
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
133471133472133473133474133475133476133477133478133479133480