Displaying 127481-127490 of 1611142 results.
ID:
127481
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
899461
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127482
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
899485
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127483
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1101926
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127484
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
899495
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127485
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1101932
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127486
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
127487
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
127488
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1657173
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
127489
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1657160
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
127490
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
127481127482127483127484127485127486127487127488127489127490