Displaying 136601-136610 of 1611142 results.
ID:
136601
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2284108
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136602
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
136603
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
136604
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136605
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136606
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136607
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136608
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136609
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
136610
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
136601136602136603136604136605136606136607136608136609136610