Displaying 135801-135810 of 1611142 results.
ID:
135801
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
896184
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135802
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
896209
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135803
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
896228
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135804
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135805
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135806
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135807
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135808
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135809
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135810
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
135801135802135803135804135805135806135807135808135809135810