Displaying 122301-122310 of 1611142 results.
ID:
122301
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122302
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
122303
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122304
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
647237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122305
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
647239
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122306
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198313
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122307
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198312
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122308
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122309
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122310
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1490032
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
122301122302122303122304122305122306122307122308122309122310