Displaying 137941-137950 of 1611142 results.
ID:
137941
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
884189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137942
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1099625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137943
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
996571
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
137944
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137945
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137946
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137947
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137948
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137949
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
248420
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137950
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
137941137942137943137944137945137946137947137948137949137950