Displaying 130651-130660 of 1611142 results.
ID:
130651
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
130652
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130653
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
130654
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
130655
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130656
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130657
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130658
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130659
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130660
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
130651130652130653130654130655130656130657130658130659130660