Displaying 138771-138780 of 1611142 results.
ID:
138771
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1601407
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
138772
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
809159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138773
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
802652
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138774
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1653225
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138775
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2182340
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138776
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138777
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138778
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138779
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138780
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
138771138772138773138774138775138776138777138778138779138780