Displaying 137361-137370 of 1611142 results.
ID:
137361
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137362
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137363
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
137364
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137365
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137366
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
137367
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
320
Qty Limit Days:
30
ID:
137368
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
137369
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310497
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137370
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
905369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
137361137362137363137364137365137366137367137368137369137370