Displaying 139701-139710 of 1611142 results.
ID:
139701
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139702
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139703
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139704
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198373
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139705
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1094543
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139706
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139707
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139708
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139709
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139710
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
139701139702139703139704139705139706139707139708139709139710