Displaying 129791-129800 of 1611142 results.
ID:
129791
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102440
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129792
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2478437
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
129793
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102456
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129794
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2099956
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129795
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129796
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102460
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129797
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047602
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129798
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129799
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129800
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
129791129792129793129794129795129796129797129798129799129800