Displaying 127681-127690 of 1611142 results.
ID:
127681
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
127682
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127683
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127684
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127685
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127686
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127687
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127688
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127689
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127690
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
429503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
127681127682127683127684127685127686127687127688127689127690