Displaying 125121-125130 of 1611142 results.
ID:
125121
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125122
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
125123
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125124
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125125
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125126
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125127
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125128
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310436
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125129
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
310437
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125130
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
579148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
125121125122125123125124125125125126125127125128125129125130