Displaying 134001-134010 of 1611142 results.
ID:
134001
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134002
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134003
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134004
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134005
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134006
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134007
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946529
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134008
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946527
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134009
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946525
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134010
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
134001134002134003134004134005134006134007134008134009134010