Displaying 138301-138310 of 1611142 results.
ID:
138301
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
138302
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138303
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138304
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138305
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138306
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
207362
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138307
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
403840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138308
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
207364
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138309
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
577776
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138310
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
138301138302138303138304138305138306138307138308138309138310