Displaying 135901-135910 of 1611142 results.
ID:
135901
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135902
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135903
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135904
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135905
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135906
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
311354
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135907
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197884
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135908
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197885
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135909
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197886
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
135910
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197887
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
135901135902135903135904135905135906135907135908135909135910