Displaying 128691-128700 of 1611142 results.
ID:
128691
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
128692
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128693
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128694
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128695
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000647
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128696
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000862
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128697
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000897
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128698
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1923428
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128699
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
831109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128700
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
978573
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
128691128692128693128694128695128696128697128698128699128700