Displaying 124691-124700 of 1611142 results.
ID:
124691
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857913
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
124692
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857917
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124693
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857925
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1840
Qty Limit Days:
30
ID:
124694
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989506
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124695
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122526
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124696
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2380551
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
124697
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2374566
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
124698
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197839
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124699
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
313447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124700
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
861402
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
124691124692124693124694124695124696124697124698124699124700