Displaying 138801-138810 of 1611142 results.
ID:
138801
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138802
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138803
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
104206
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138804
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309888
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138805
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309889
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138806
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
745752
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138807
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1649961
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138808
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1593858
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138809
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
854832
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138810
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
854836
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
138801138802138803138804138805138806138807138808138809138810