Displaying 120831-120840 of 1611142 results.
ID:
120831
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
884185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120832
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
884189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120833
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1099625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120834
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
996571
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120835
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120836
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120837
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120838
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120839
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120840
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
248420
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
120831120832120833120834120835120836120837120838120839120840