Displaying 136301-136310 of 1611142 results.
ID:
136301
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
136302
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659161
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
136303
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136304
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
136305
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
136306
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136307
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136308
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136309
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136310
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198050
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
136301136302136303136304136305136306136307136308136309136310