Displaying 122011-122020 of 1611142 results.
ID:
122011
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2054159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122012
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1604350
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122013
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1792393
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122014
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1604395
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122015
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1604352
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122016
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
122017
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
122018
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122019
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
122020
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
122011122012122013122014122015122016122017122018122019122020