Displaying 132291-132300 of 1611142 results.
ID:
132291
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111020
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132292
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653221
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132293
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132294
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132295
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132296
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132297
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132298
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132299
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132300
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
132291132292132293132294132295132296132297132298132299132300