Displaying 120501-120510 of 1611142 results.
ID:
120501
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120502
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120503
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
120504
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120505
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
120506
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
120507
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120508
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
120509
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120510
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
120501120502120503120504120505120506120507120508120509120510