Displaying 132801-132810 of 1611142 results.
ID:
132801
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
762852
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132802
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
762859
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132803
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
762868
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132804
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
762897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132805
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
260285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132806
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
205826
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132807
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011987
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132808
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
856935
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132809
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
132810
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000089
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
132801132802132803132804132805132806132807132808132809132810