Displaying 129521-129530 of 1611142 results.
ID:
129521
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129522
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129523
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129524
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198050
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129525
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198049
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129526
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129527
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
525
Qty Limit Days:
30
ID:
129528
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129529
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1809436
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129530
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
836358
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
129521129522129523129524129525129526129527129528129529129530