Displaying 121021-121030 of 1611142 results.
ID:
121021
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
238151
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
121022
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121023
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121024
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121025
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121026
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121027
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121028
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121029
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121030
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
121021121022121023121024121025121026121027121028121029121030