Displaying 134601-134610 of 1611142 results.
ID:
134601
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433879
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134602
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1546894
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134603
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857913
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
134604
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857917
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134605
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857925
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1840
Qty Limit Days:
30
ID:
134606
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989506
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134607
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122526
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134608
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2380551
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134609
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2374566
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
134610
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197839
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
134601134602134603134604134605134606134607134608134609134610