Displaying 130851-130860 of 1611142 results.
ID:
130851
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861010
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130852
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
130853
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
130854
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130855
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130856
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649429
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130857
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130858
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130859
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130860
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
897666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
130851130852130853130854130855130856130857130858130859130860