Displaying 126131-126140 of 1611142 results.
ID:
126131
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989507
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126132
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876920
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
126133
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876924
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
126134
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876916
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
126135
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126136
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126137
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126138
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126139
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
126140
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
126131126132126133126134126135126136126137126138126139126140