Displaying 128901-128910 of 1611142 results.
ID:
128901
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1876673
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128902
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1876674
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128903
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128904
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128905
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1373489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
128906
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1373493
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
128907
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1373498
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128908
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
128909
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
128910
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
128901128902128903128904128905128906128907128908128909128910