Displaying 136881-136890 of 1611142 results.
ID:
136881
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136882
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136883
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136884
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
828379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136885
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136886
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136887
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136888
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136889
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
136890
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1870230
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
136881136882136883136884136885136886136887136888136889136890