Displaying 137381-137390 of 1611142 results.
ID:
137381
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137382
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137383
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137384
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197555
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137385
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137386
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137387
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137388
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137389
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137390
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
137381137382137383137384137385137386137387137388137389137390