Displaying 134181-134190 of 1611142 results.
ID:
134181
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
897722
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134182
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197942
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134183
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134184
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861007
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
134185
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861010
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
134186
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
134187
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
134188
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134189
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134190
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649429
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
134181134182134183134184134185134186134187134188134189134190