Displaying 120691-120700 of 1611142 results.
ID:
120691
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
120692
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
120693
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
120694
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120695
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120696
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120697
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120698
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120699
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120700
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
120691120692120693120694120695120696120697120698120699120700