Displaying 124791-124800 of 1611142 results.
ID:
124791
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054313
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124792
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054316
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124793
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054318
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
124794
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
312614
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124795
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
283077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124796
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
993755
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4500
Qty Limit Days:
30
ID:
124797
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197448
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124798
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124799
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
477391
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124800
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197877
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
124791124792124793124794124795124796124797124798124799124800