Displaying 138001-138010 of 1611142 results.
ID:
138001
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138002
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138003
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138004
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138005
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861822
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
138006
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138007
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138008
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138009
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2045201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138010
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
138001138002138003138004138005138006138007138008138009138010