Displaying 135261-135270 of 1611142 results.
ID:
135261
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135262
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135263
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135264
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135265
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135266
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135267
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135268
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135269
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135270
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
135261135262135263135264135265135266135267135268135269135270