Displaying 120681-120690 of 1611142 results.
ID:
120681
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120682
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120683
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120684
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
721791
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120685
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
721794
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120686
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
721796
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120687
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
895670
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120688
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120689
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120690
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
120681120682120683120684120685120686120687120688120689120690