Displaying 137271-137280 of 1611142 results.
ID:
137271
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
884535
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
137272
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
884532
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
137273
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
137274
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
137275
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
137276
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
137277
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137278
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137279
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137280
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1724338
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
137271137272137273137274137275137276137277137278137279137280