Displaying 137101-137110 of 1611142 results.
ID:
137101
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1795346
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137102
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
801357
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137103
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
801112
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137104
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
801136
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137105
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310473
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137106
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
242816
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137107
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1870633
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137108
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310477
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137109
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137110
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
805131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
137101137102137103137104137105137106137107137108137109137110