Displaying 137901-137910 of 1611142 results.
ID:
137901
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1149376
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137902
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137903
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137904
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137905
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
862019
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137906
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
862025
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137907
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
201388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137908
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665102
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137909
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1737578
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137910
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1659283
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
137901137902137903137904137905137906137907137908137909137910