Displaying 121551-121560 of 1611142 results.
ID:
121551
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1991509
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121552
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
858125
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121553
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
858127
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121554
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121555
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121556
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
121557
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121558
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121559
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121560
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
121551121552121553121554121555121556121557121558121559121560