Displaying 139791-139800 of 1611142 results.
ID:
139791
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139792
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139793
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139794
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139795
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139796
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139797
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139798
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198007
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139799
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139800
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
139791139792139793139794139795139796139797139798139799139800