Displaying 134911-134920 of 1611142 results.
ID:
134911
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134912
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134913
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134914
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
152
Qty Limit Days:
30
ID:
134915
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134916
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134917
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134918
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134919
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134920
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
134911134912134913134914134915134916134917134918134919134920