Displaying 128891-128900 of 1611142 results.
ID:
128891
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128892
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128893
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
128894
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128895
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128896
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
867381
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128897
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128898
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128899
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1809513
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128900
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1876671
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
128891128892128893128894128895128896128897128898128899128900