Displaying 139851-139860 of 1611142 results.
ID:
139851
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139852
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1809416
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139853
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139854
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139855
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139856
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197943
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
139857
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197944
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
139858
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139859
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2102705
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139860
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
139851139852139853139854139855139856139857139858139859139860