Displaying 134921-134930 of 1611142 results.
ID:
134921
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134922
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134923
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
430902
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134924
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134925
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134926
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134927
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134928
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716215
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134929
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716219
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134930
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716223
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
134921134922134923134924134925134926134927134928134929134930