Displaying 135441-135450 of 1611142 results.
ID:
135441
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
854868
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135442
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135443
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135444
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135445
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135446
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135447
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135448
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135449
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135450
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
135441135442135443135444135445135446135447135448135449135450