Displaying 130501-130510 of 1611142 results.
ID:
130501
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130502
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130503
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130504
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
284254
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130505
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197900
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130506
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130507
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197902
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
130508
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311386
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130509
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130510
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314075
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
130501130502130503130504130505130506130507130508130509130510