Displaying 139751-139760 of 1611142 results.
ID:
139751
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
139752
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
139753
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
830877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139754
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
830879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139755
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
830882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139756
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139757
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198363
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139758
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
200220
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
139759
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139760
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
139751139752139753139754139755139756139757139758139759139760