Displaying 128771-128780 of 1611142 results.
ID:
128771
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311197
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128772
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128773
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128774
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128775
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128776
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128777
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128778
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
128779
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
128780
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
128771128772128773128774128775128776128777128778128779128780