Displaying 121-130 of 1611142 results.
ID:
121
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
122
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
124
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
125
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
28
ID:
127
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
128
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923338
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
121122123124125126127128129130