Displaying 139901-139910 of 1611142 results.
ID:
139901
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
139902
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139903
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139904
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
139905
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
139906
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
139907
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311944
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139908
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1249631
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139909
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139910
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
139901139902139903139904139905139906139907139908139909139910