Displaying 139271-139280 of 1611142 results.
ID:
139271
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1600776
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139272
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1600915
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139273
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1600917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139274
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139275
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139276
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
730834
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139277
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
543492
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139278
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139279
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139280
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
139271139272139273139274139275139276139277139278139279139280