Displaying 134901-134910 of 1611142 results.
ID:
134901
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134902
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134903
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134904
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134905
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134906
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1426600
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134907
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134908
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
748977
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134909
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134910
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
134901134902134903134904134905134906134907134908134909134910