Displaying 121701-121710 of 1611142 results.
ID:
121701
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
794610
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121702
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
831870
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121703
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
850457
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
121704
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1236632
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
121705
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121706
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
758555
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121707
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1052660
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
121708
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1250723
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
121709
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1600710
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
121710
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1999587
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
121701121702121703121704121705121706121707121708121709121710