Displaying 139691-139700 of 1611142 results.
ID:
139691
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
151029
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139692
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311265
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139693
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311264
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139694
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
897649
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139695
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349594
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139696
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349595
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139697
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139698
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139699
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139700
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
139691139692139693139694139695139696139697139698139699139700