Displaying 129331-129340 of 1611142 results.
ID:
129331
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1370758
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129332
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1366550
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129333
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
129334
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129335
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
129336
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
129337
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
129338
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198363
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129339
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129340
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
129331129332129333129334129335129336129337129338129339129340