Displaying 128491-128500 of 1611142 results.
ID:
128491
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1300378
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
128492
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1300370
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
128493
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
805579
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
128494
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
901518
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
128495
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
830463
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
128496
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1601407
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
128497
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128498
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128499
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128500
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
128491128492128493128494128495128496128497128498128499128500