Displaying 129601-129610 of 1611142 results.
ID:
129601
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129602
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
129603
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129604
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
129605
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547575
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129606
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547110
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129607
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129608
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547114
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129609
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547118
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129610
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
129601129602129603129604129605129606129607129608129609129610