Displaying 129261-129270 of 1611142 results.
ID:
129261
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129262
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129263
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129264
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314142
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
129265
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311919
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
129266
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129267
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1988311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129268
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129269
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1988319
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129270
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1988324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
129261129262129263129264129265129266129267129268129269129270