Displaying 125791-125800 of 1611142 results.
ID:
125791
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
125792
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125793
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125794
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125795
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125796
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125797
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125798
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125799
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125800
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
562266
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
125791125792125793125794125795125796125797125798125799125800