Displaying 139041-139050 of 1611142 results.
ID:
139041
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
212232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139042
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
212373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139043
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139044
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139045
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139046
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1242611
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139047
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1242613
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139048
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1663728
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139049
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1242615
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139050
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
139041139042139043139044139045139046139047139048139049139050