Displaying 134031-134040 of 1611142 results.
ID:
134031
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1012017
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134032
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
209002
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134033
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
208420
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134034
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134035
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134036
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010603
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
134037
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307058
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134038
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010606
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
134039
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307063
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134040
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
134031134032134033134034134035134036134037134038134039134040