Displaying 137371-137380 of 1611142 results.
ID:
137371
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137372
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137373
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
137374
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
137375
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
905516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137376
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
905495
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137377
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137378
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137379
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
995232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137380
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
977883
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
137371137372137373137374137375137376137377137378137379137380