Displaying 124221-124230 of 1611142 results.
ID:
124221
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1537209
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124222
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1487086
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124223
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539953
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124224
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539955
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124225
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124226
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124227
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124228
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124229
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124230
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
124221124222124223124224124225124226124227124228124229124230