Displaying 127391-127400 of 1611142 results.
ID:
127391
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127392
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127393
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
127394
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127395
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
905269
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127396
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
905283
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127397
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127398
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127399
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127400
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
127391127392127393127394127395127396127397127398127399127400