Displaying 127771-127780 of 1611142 results.
ID:
127771
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1361574
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127772
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
351246
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127773
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127774
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127775
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127776
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1013930
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127777
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1043025
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127778
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1043031
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127779
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1373016
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127780
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1372999
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
127771127772127773127774127775127776127777127778127779127780