Displaying 139281-139290 of 1611142 results.
ID:
139281
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
139282
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
139283
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
139284
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139285
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
866021
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139286
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139287
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139288
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313123
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139289
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139290
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
139281139282139283139284139285139286139287139288139289139290