Displaying 135991-136000 of 1611142 results.
ID:
135991
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135992
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
135993
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
135994
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135995
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
359500
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135996
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135997
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135998
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
135999
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198116
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136000
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
349253
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
135991135992135993135994135995135996135997135998135999136000