Displaying 137121-137130 of 1611142 results.
ID:
137121
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1860239
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137122
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312507
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137123
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
615107
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137124
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
615111
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137125
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
847626
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137126
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312128
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137127
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
240637
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137128
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
801405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137129
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137130
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
137121137122137123137124137125137126137127137128137129137130