Displaying 139061-139070 of 1611142 results.
ID:
139061
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
404587
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139062
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
850
Qty Limit Days:
30
ID:
139063
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
639888
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139064
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1744003
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139065
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1744007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139066
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1744011
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139067
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139068
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139069
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139070
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1551999
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
139061139062139063139064139065139066139067139068139069139070