Displaying 137811-137820 of 1611142 results.
ID:
137811
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137812
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
429503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137813
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137814
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137815
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
485023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137816
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309362
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
137817
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137818
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
485020
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137819
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137820
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
137811137812137813137814137815137816137817137818137819137820