Displaying 134361-134370 of 1611142 results.
ID:
134361
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134362
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134363
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134364
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134365
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134366
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
134367
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134368
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
ID:
134369
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
825005
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
134370
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
134361134362134363134364134365134366134367134368134369134370