Displaying 137961-137970 of 1611142 results.
ID:
137961
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137962
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137963
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137964
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137965
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137966
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
137967
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
137968
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
137969
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
137970
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
137961137962137963137964137965137966137967137968137969137970