Displaying 138751-138760 of 1611142 results.
ID:
138751
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138752
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138753
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138754
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1539248
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138755
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
138756
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
829989
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
138757
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
830552
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
138758
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
138759
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
138760
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1300810
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
138751138752138753138754138755138756138757138758138759138760