Displaying 127001-127010 of 1611142 results.
ID:
127001
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197541
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
127002
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
753478
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127003
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
753479
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127004
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1428933
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127005
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091828
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127006
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
351173
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127007
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
351174
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127008
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127009
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
999965
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127010
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
801417
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
127001127002127003127004127005127006127007127008127009127010