Displaying 135691-135700 of 1611142 results.
ID:
135691
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310797
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135692
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310809
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135693
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135694
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135695
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135696
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135697
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135698
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
979485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135699
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
979492
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135700
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
979480
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
135691135692135693135694135695135696135697135698135699135700