Displaying 139371-139380 of 1611142 results.
ID:
139371
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198335
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139372
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139373
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
979464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139374
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139375
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198188
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139376
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139377
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139378
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861783
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
139379
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139380
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
139371139372139373139374139375139376139377139378139379139380