Displaying 138501-138510 of 1611142 results.
ID:
138501
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
855671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138502
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311679
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138503
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
105583
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138504
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199378
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138505
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
402505
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138506
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
402506
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138507
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1313885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138508
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
577237
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138509
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138510
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
967017
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
138501138502138503138504138505138506138507138508138509138510