Displaying 120871-120880 of 1611142 results.
ID:
120871
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120872
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120873
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120874
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120875
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120876
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120877
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120878
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120879
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120880
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
120871120872120873120874120875120876120877120878120879120880