Displaying 137801-137810 of 1611142 results.
ID:
137801
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
137802
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
137803
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
137804
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137805
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137806
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137807
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137808
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137809
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137810
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
137801137802137803137804137805137806137807137808137809137810