Displaying 118021-118030 of 1611142 results.
ID:
118021
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
118022
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
118023
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118024
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118025
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118026
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
848164
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118027
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653144
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118028
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482814
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118029
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653166
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118030
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100079
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
118021118022118023118024118025118026118027118028118029118030