Displaying 136501-136510 of 1611142 results.
ID:
136501
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136502
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136503
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136504
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136505
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136506
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136507
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136508
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000499
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136509
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136510
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000487
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
136501136502136503136504136505136506136507136508136509136510