Displaying 134501-134510 of 1611142 results.
ID:
134501
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134502
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134503
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134504
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134505
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134506
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134507
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134508
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134509
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597120
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134510
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597126
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
134501134502134503134504134505134506134507134508134509134510