Displaying 135851-135860 of 1611142 results.
ID:
135851
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
135852
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
135853
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135854
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135855
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135856
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135857
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
135858
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
135859
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135860
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
135851135852135853135854135855135856135857135858135859135860