Displaying 125871-125880 of 1611142 results.
ID:
125871
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
647239
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
125872
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198313
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125873
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198312
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125874
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125875
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125876
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490032
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
125877
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490036
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
125878
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490040
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
125879
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
351156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125880
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
125871125872125873125874125875125876125877125878125879125880