Displaying 129671-129680 of 1611142 results.
ID:
129671
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129672
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
207370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129673
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
706467
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129674
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129675
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
205739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129676
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129677
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129678
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129679
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129680
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
129671129672129673129674129675129676129677129678129679129680