Displaying 123161-123170 of 1611142 results.
ID:
123161
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966251
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123162
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966218
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123163
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123164
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
966185
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123165
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
212957
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123166
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123167
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123168
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123169
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123170
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1002300
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
123161123162123163123164123165123166123167123168123169123170