Displaying 126541-126550 of 1611142 results.
ID:
126541
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
126542
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
126543
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126544
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126545
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3000
Qty Limit Days:
30
ID:
126546
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1500
Qty Limit Days:
30
ID:
126547
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
997170
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
126548
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
126549
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
126550
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
126541126542126543126544126545126546126547126548126549126550