Displaying 138391-138400 of 1611142 results.
ID:
138391
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138392
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138393
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138394
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138395
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138396
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138397
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138398
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138399
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138400
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
138391138392138393138394138395138396138397138398138399138400