Displaying 121101-121110 of 1611142 results.
ID:
121101
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
807225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
121102
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1486496
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
121103
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
121104
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
121105
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121106
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121107
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121108
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
121109
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
121110
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
121101121102121103121104121105121106121107121108121109121110