Displaying 130771-130780 of 1611142 results.
ID:
130771
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130772
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130773
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130774
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1304988
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130775
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1661092
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130776
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130777
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1438778
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130778
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1440937
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130779
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1440183
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130780
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1537209
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
130771130772130773130774130775130776130777130778130779130780