Displaying 128941-128950 of 1611142 results.
ID:
128941
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128942
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128943
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128944
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
128945
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
128946
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128947
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128948
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128949
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128950
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
128941128942128943128944128945128946128947128948128949128950