Displaying 119571-119580 of 1611142 results.
ID:
119571
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1940709
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
119572
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119573
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
835835
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119574
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119575
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1926069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
119576
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1115259
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119577
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1115459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119578
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1115464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119579
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1115473
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119580
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1946522
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
119571119572119573119574119575119576119577119578119579119580