Displaying 123501-123510 of 1611142 results.
ID:
123501
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123502
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123503
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123504
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123505
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197541
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
123506
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
753478
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123507
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
753479
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123508
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1428933
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123509
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091828
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123510
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
351173
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
123501123502123503123504123505123506123507123508123509123510