Displaying 139401-139410 of 1611142 results.
ID:
139401
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139402
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139403
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
664741
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139404
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
833528
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139405
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
722134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139406
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
722137
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139407
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139408
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139409
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139410
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
139401139402139403139404139405139406139407139408139409139410