Displaying 118721-118730 of 1611142 results.
ID:
118721
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729047
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
118722
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729076
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118723
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
118724
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118725
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118726
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
727714
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118727
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118728
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
861646
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
118729
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
861650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
118730
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
861654
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
118721118722118723118724118725118726118727118728118729118730