Displaying 139521-139530 of 1611142 results.
ID:
139521
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
139522
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
139523
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
139524
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1597620
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139525
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139526
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1996246
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139527
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
859081
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
139528
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1486691
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139529
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1111020
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139530
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1653221
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
139521139522139523139524139525139526139527139528139529139530