Displaying 130811-130820 of 1611142 results.
ID:
130811
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130812
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130813
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
130814
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130815
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130816
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130817
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130818
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130819
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130820
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
130811130812130813130814130815130816130817130818130819130820