Displaying 130061-130070 of 1611142 results.
ID:
130061
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
130062
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130063
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130064
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130065
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130066
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130067
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1550940
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130068
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1655960
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130069
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
859824
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130070
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
130061130062130063130064130065130066130067130068130069130070