Displaying 139121-139130 of 1611142 results.
ID:
139121
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139122
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139123
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139124
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139125
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139126
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139127
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139128
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139129
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139130
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
139121139122139123139124139125139126139127139128139129139130