Displaying 133501-133510 of 1611142 results.
ID:
133501
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133502
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133503
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133504
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133505
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133506
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133507
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133508
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133509
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
876514
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133510
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
133501133502133503133504133505133506133507133508133509133510