Displaying 129501-129510 of 1611142 results.
ID:
129501
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966177
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129502
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966182
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129503
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966187
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129504
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2104866
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129505
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966196
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129506
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129507
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966207
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129508
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
129509
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
129510
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
129501129502129503129504129505129506129507129508129509129510