Displaying 123301-123310 of 1611142 results.
ID:
123301
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123302
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123303
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123304
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299896
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123305
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123306
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
123307
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123308
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
123309
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123310
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
123301123302123303123304123305123306123307123308123309123310