Displaying 138901-138910 of 1611142 results.
ID:
138901
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138902
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138903
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
138904
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138905
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138906
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000153
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138907
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138908
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138909
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
317128
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138910
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309337
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
138901138902138903138904138905138906138907138908138909138910