Displaying 132101-132110 of 1611142 results.
ID:
132101
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
825134
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
132102
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
132103
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132104
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132105
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
213439
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132106
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132107
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132108
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132109
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
637216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132110
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
132101132102132103132104132105132106132107132108132109132110