Displaying 138361-138370 of 1611142 results.
ID:
138361
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2100100
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
138362
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2054310
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138363
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2054313
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138364
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2054316
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138365
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2054318
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138366
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312614
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138367
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
283077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138368
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
993755
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4500
Qty Limit Days:
30
ID:
138369
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197448
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138370
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1923432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
138361138362138363138364138365138366138367138368138369138370