Displaying 135881-135890 of 1611142 results.
ID:
135881
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
135882
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
135883
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135884
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135885
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135886
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135887
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135888
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135889
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135890
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309098
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
135881135882135883135884135885135886135887135888135889135890