Displaying 133521-133530 of 1611142 results.
ID:
133521
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133522
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
892251
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133523
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
892255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133524
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
966270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133525
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
133526
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
606726
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
133527
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
606730
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
133528
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133529
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133530
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
133521133522133523133524133525133526133527133528133529133530