Displaying 126571-126580 of 1611142 results.
ID:
126571
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126572
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126573
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126574
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126575
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126576
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126577
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
756059
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126578
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311376
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
126579
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3600
Qty Limit Days:
30
ID:
126580
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
126571126572126573126574126575126576126577126578126579126580