Displaying 137781-137790 of 1611142 results.
ID:
137781
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137782
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137783
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137784
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197956
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137785
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197958
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137786
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137787
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137788
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313190
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137789
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137790
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
137781137782137783137784137785137786137787137788137789137790