Displaying 138371-138380 of 1611142 results.
ID:
138371
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
477391
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138372
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197877
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138373
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1010739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138374
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
391937
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138375
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138376
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313786
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138377
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
212787
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138378
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1312408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
138379
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1439894
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138380
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1439896
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
138371138372138373138374138375138376138377138378138379138380