Displaying 130791-130800 of 1611142 results.
ID:
130791
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130792
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130793
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130794
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130795
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130796
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130797
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130798
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130799
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130800
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197956
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
130791130792130793130794130795130796130797130798130799130800