Displaying 128631-128640 of 1611142 results.
ID:
128631
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128632
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128633
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128634
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128635
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128636
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128637
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128638
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128639
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
128640
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
128631128632128633128634128635128636128637128638128639128640