Displaying 129871-129880 of 1611142 results.
ID:
129871
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1002300
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
129872
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1012899
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129873
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1310138
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129874
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1310144
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129875
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1310147
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129876
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129877
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364118
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129878
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364122
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129879
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653243
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129880
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1599797
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
129871129872129873129874129875129876129877129878129879129880