Displaying 122471-122480 of 1611142 results.
ID:
122471
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
122472
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1738483
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122473
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1738495
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122474
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1738503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122475
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1099596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122476
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197412
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122477
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312828
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122478
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122479
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312830
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122480
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312831
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
122471122472122473122474122475122476122477122478122479122480