Displaying 122191-122200 of 1611142 results.
ID:
122191
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122192
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122193
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
979485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122194
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
979492
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122195
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
979480
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122196
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
248109
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122197
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314108
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122198
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311290
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122199
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
854984
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122200
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
854988
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
122191122192122193122194122195122196122197122198122199122200