Displaying 129361-129370 of 1611142 results.
ID:
129361
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129362
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129363
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
904396
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
129364
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
129365
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129366
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129367
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129368
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129369
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129370
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
129361129362129363129364129365129366129367129368129369129370