Displaying 137681-137690 of 1611142 results.
ID:
137681
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2101899
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137682
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049683
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
137683
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
137684
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
137685
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137686
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137687
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137688
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091133
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
137689
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137690
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1012017
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
137681137682137683137684137685137686137687137688137689137690