Displaying 120091-120100 of 1611142 results.
ID:
120091
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
120092
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
120093
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
855875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120094
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120095
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120096
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120097
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120098
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120099
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120100
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
120091120092120093120094120095120096120097120098120099120100