Displaying 139871-139880 of 1611142 results.
ID:
139871
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
797065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139872
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
139873
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139874
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139875
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139876
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139877
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139878
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1720616
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139879
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1369737
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139880
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1722676
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
139871139872139873139874139875139876139877139878139879139880