Displaying 127691-127700 of 1611142 results.
ID:
127691
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127692
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127693
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
485023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127694
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309362
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
127695
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127696
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
485020
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127697
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
856364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127698
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127699
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
127700
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
127691127692127693127694127695127696127697127698127699127700