Displaying 139711-139720 of 1611142 results.
ID:
139711
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139712
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1245919
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139713
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139714
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139715
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139716
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
307731
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139717
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139718
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139719
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139720
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
139711139712139713139714139715139716139717139718139719139720