Displaying 138471-138480 of 1611142 results.
ID:
138471
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
138472
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138473
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
138474
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138475
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138476
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138477
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138478
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138479
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
896110
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138480
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
138471138472138473138474138475138476138477138478138479138480