Displaying 137501-137510 of 1611142 results.
ID:
137501
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137502
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1100706
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137503
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137504
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137505
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137506
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1243033
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137507
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137508
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137509
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137510
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
137501137502137503137504137505137506137507137508137509137510