Displaying 138411-138420 of 1611142 results.
ID:
138411
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1739774
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138412
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2173500
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
138413
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138414
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138415
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
795085
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138416
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
849599
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138417
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138418
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138419
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138420
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
138411138412138413138414138415138416138417138418138419138420