Displaying 129701-129710 of 1611142 results.
ID:
129701
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
129702
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
129703
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129704
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129705
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129706
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
477234
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129707
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129708
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129709
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129710
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
129701129702129703129704129705129706129707129708129709129710