Displaying 136751-136760 of 1611142 results.
ID:
136751
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136752
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136753
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136754
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1246313
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
136755
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1246310
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
136756
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136757
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136758
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136759
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136760
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
136751136752136753136754136755136756136757136758136759136760