Displaying 122941-122950 of 1611142 results.
ID:
122941
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
205826
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122942
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011987
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122943
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856935
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122944
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122945
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000089
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122946
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190955
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122947
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190957
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
122948
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122949
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122950
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
122941122942122943122944122945122946122947122948122949122950