Displaying 130841-130850 of 1611142 results.
ID:
130841
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130842
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
260243
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130843
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312641
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130844
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130845
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130846
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314184
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130847
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
897722
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130848
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197942
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130849
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130850
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861007
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
130841130842130843130844130845130846130847130848130849130850