Displaying 137751-137760 of 1611142 results.
ID:
137751
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
643070
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137752
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
797697
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137753
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137754
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137755
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137756
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137757
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137758
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1304988
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137759
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1661092
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137760
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
137751137752137753137754137755137756137757137758137759137760