Displaying 138951-138960 of 1611142 results.
ID:
138951
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1797865
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138952
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138953
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1797847
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138954
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138955
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138956
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
260218
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138957
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
205324
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138958
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138959
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138960
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
138951138952138953138954138955138956138957138958138959138960