Displaying 127361-127370 of 1611142 results.
ID:
127361
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127362
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
284254
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127363
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197900
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
127364
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
127365
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197902
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
127366
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127367
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127368
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127369
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127370
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
127361127362127363127364127365127366127367127368127369127370