Displaying 128401-128410 of 1611142 results.
ID:
128401
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1722939
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128402
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128403
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128404
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
207949
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128405
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966154
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128406
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966161
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128407
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966167
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128408
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966401
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128409
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966178
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128410
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966397
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
128401128402128403128404128405128406128407128408128409128410