Displaying 129301-129310 of 1611142 results.
ID:
129301
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129302
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129303
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129304
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129305
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129306
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1245919
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129307
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129308
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129309
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129310
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
307731
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
129301129302129303129304129305129306129307129308129309129310