Displaying 138011-138020 of 1611142 results.
ID:
138011
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138012
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1596108
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
138013
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138014
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197873
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
138015
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2058845
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
138016
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138017
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138018
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138019
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138020
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
138011138012138013138014138015138016138017138018138019138020