Displaying 138601-138610 of 1611142 results.
ID:
138601
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
580286
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
138602
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138603
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138604
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138605
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1433736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138606
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138607
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
138608
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138609
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1605088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138610
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199370
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
138601138602138603138604138605138606138607138608138609138610