Displaying 119791-119800 of 1611142 results.
ID:
119791
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1870225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
119792
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
242831
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119793
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
239239
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119794
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856605
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119795
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
903857
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119796
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856656
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119797
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856660
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119798
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856652
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119799
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
351133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
119800
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
119791119792119793119794119795119796119797119798119799119800