Displaying 128701-128710 of 1611142 results.
ID:
128701
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
308720
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128702
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1605071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128703
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1605075
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128704
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314072
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128705
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128706
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128707
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128708
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128709
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
204874
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128710
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313415
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
128701128702128703128704128705128706128707128708128709128710