Displaying 129171-129180 of 1611142 results.
ID:
129171
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197453
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129172
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129173
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129174
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129175
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129176
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129177
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129178
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129179
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311354
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129180
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197884
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
129171129172129173129174129175129176129177129178129179129180