Displaying 124491-124500 of 1611142 results.
ID:
124491
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124492
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
124493
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
124494
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
124495
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
124496
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
124497
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
124498
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
124499
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124500
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
124491124492124493124494124495124496124497124498124499124500