Displaying 128981-128990 of 1611142 results.
ID:
128981
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
128982
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128983
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128984
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128985
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309078
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128986
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
128987
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128988
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
200033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128989
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
315223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
128990
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313161
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
128981128982128983128984128985128986128987128988128989128990