Displaying 129051-129060 of 1611142 results.
ID:
129051
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129052
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129053
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129054
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1856424
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129055
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129056
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129057
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129058
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129059
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129060
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
129051129052129053129054129055129056129057129058129059129060