Displaying 134701-134710 of 1611142 results.
ID:
134701
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2100099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
134702
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2100100
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
134703
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054310
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134704
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054313
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134705
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054316
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134706
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054318
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134707
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312614
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134708
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
283077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134709
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
993755
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4500
Qty Limit Days:
30
ID:
134710
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197448
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
134701134702134703134704134705134706134707134708134709134710