Displaying 134301-134310 of 1611142 results.
ID:
134301
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134302
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134303
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134304
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134305
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134306
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134307
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134308
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
134309
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134310
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
134301134302134303134304134305134306134307134308134309134310