Displaying 126701-126710 of 1611142 results.
ID:
126701
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966205
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126702
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966251
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126703
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966218
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126704
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126705
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966185
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126706
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
212957
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126707
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126708
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
126709
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126710
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
126701126702126703126704126705126706126707126708126709126710