Displaying 120791-120800 of 1611142 results.
ID:
120791
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1149373
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120792
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1149376
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120793
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120794
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120795
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120796
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
862019
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120797
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
862025
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120798
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
201388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120799
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665102
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120800
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1737578
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
120791120792120793120794120795120796120797120798120799120800