Displaying 138491-138500 of 1611142 results.
ID:
138491
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138492
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138493
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138494
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138495
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138496
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138497
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310247
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138498
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138499
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138500
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1313112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
138491138492138493138494138495138496138497138498138499138500