Displaying 139481-139490 of 1611142 results.
ID:
139481
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139482
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139483
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861365
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139484
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139485
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1737244
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139486
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1737581
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139487
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2049891
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139488
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
540617
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139489
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139490
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
213337
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
139481139482139483139484139485139486139487139488139489139490