Displaying 130021-130030 of 1611142 results.
ID:
130021
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310295
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130022
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310297
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130023
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130024
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130025
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130026
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310294
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130027
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130028
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000695
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130029
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299909
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130030
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1362706
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
130021130022130023130024130025130026130027130028130029130030