Displaying 128851-128860 of 1611142 results.
ID:
128851
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128852
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128853
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128854
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313416
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128855
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
597823
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128856
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1726214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128857
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1721458
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128858
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1721460
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128859
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1726204
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128860
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312821
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
128851128852128853128854128855128856128857128858128859128860