Displaying 135451-135460 of 1611142 results.
ID:
135451
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135452
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135453
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135454
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135455
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135456
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135457
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135458
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135459
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135460
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
135451135452135453135454135455135456135457135458135459135460