Displaying 127031-127040 of 1611142 results.
ID:
127031
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2047639
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
127032
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
127033
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127034
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127035
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127036
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127037
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1790644
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
127038
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
858044
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127039
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
858040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127040
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1043567
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
127031127032127033127034127035127036127037127038127039127040