Displaying 130901-130910 of 1611142 results.
ID:
130901
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659287
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130902
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
242800
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130903
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312127
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130904
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130905
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721314
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130906
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361574
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130907
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
351246
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130908
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130909
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130910
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
130901130902130903130904130905130906130907130908130909130910