Displaying 136161-136170 of 1611142 results.
ID:
136161
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136162
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136163
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136164
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136165
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136166
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309307
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136167
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136168
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197854
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136169
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
201912
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136170
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
310003
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
136161136162136163136164136165136166136167136168136169136170