Displaying 133801-133810 of 1611142 results.
ID:
133801
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1080
Qty Limit Days:
30
ID:
133802
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133803
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133804
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133805
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133806
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133807
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133808
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133809
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
133810
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597129
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
133801133802133803133804133805133806133807133808133809133810