Displaying 120051-120060 of 1611142 results.
ID:
120051
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120052
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120053
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120054
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120055
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120056
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120057
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197960
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120058
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120059
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120060
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
120051120052120053120054120055120056120057120058120059120060