Displaying 138511-138520 of 1611142 results.
ID:
138511
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198359
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138512
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
389242
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138513
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138514
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1359020
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138515
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138516
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
751884
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138517
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138518
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138519
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138520
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
138511138512138513138514138515138516138517138518138519138520