Displaying 139681-139690 of 1611142 results.
ID:
139681
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139682
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139683
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139684
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139685
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139686
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198014
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139687
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139688
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1299897
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139689
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139690
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
139681139682139683139684139685139686139687139688139689139690