Displaying 134631-134640 of 1611142 results.
ID:
134631
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134632
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134633
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134634
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
134635
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134636
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
134637
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
134638
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
134639
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134640
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
134631134632134633134634134635134636134637134638134639134640