Displaying 136191-136200 of 1611142 results.
ID:
136191
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
136192
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136193
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809416
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136194
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136195
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136196
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136197
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197943
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
136198
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197944
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
136199
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136200
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102705
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
136191136192136193136194136195136196136197136198136199136200