Displaying 120891-120900 of 1611142 results.
ID:
120891
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2045201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120892
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120893
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120894
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1596108
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
120895
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120896
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197873
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
120897
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2058845
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
120898
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120899
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120900
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
120891120892120893120894120895120896120897120898120899120900