Displaying 137471-137480 of 1611142 results.
ID:
137471
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
828299
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137472
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
137473
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137474
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137475
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137476
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
137477
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
996572
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137478
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137479
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137480
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
137471137472137473137474137475137476137477137478137479137480