Displaying 123031-123040 of 1611142 results.
ID:
123031
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311376
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
123032
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3600
Qty Limit Days:
30
ID:
123033
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
123034
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
205301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123035
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123036
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123037
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
856733
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123038
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123039
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197577
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123040
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
343033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
123031123032123033123034123035123036123037123038123039123040