Displaying 121941-121950 of 1611142 results.
ID:
121941
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121942
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121943
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121944
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121945
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121946
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121947
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121948
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
121949
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
121950
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
121941121942121943121944121945121946121947121948121949121950