Displaying 128651-128660 of 1611142 results.
ID:
128651
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128652
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128653
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128654
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128655
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128656
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128657
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128658
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128659
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128660
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
128651128652128653128654128655128656128657128658128659128660