Displaying 124161-124170 of 1611142 results.
ID:
124161
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124162
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124163
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
124164
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
124165
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
124166
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
124167
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
124168
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197593
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124169
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
199168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124170
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312357
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
124161124162124163124164124165124166124167124168124169124170