Displaying 130701-130710 of 1611142 results.
ID:
130701
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946529
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130702
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946527
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130703
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946525
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130704
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130705
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
801054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130706
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
206548
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130707
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130708
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130709
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
995258
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130710
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049621
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
130701130702130703130704130705130706130707130708130709130710