Displaying 122611-122620 of 1611142 results.
ID:
122611
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1495070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122612
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122613
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
151226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122614
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122615
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122616
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
904396
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
122617
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
122618
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122619
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122620
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
122611122612122613122614122615122616122617122618122619122620