Displaying 139471-139480 of 1611142 results.
ID:
139471
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
647239
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139472
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198313
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139473
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198312
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139474
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139475
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139476
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1490032
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
139477
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1490036
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
139478
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1490040
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
139479
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
351156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139480
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
139471139472139473139474139475139476139477139478139479139480