Displaying 128241-128250 of 1611142 results.
ID:
128241
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128242
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128243
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128244
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128245
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128246
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128247
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128248
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128249
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128250
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
128241128242128243128244128245128246128247128248128249128250