Displaying 151121-151130 of 1611142 results.
ID:
151121
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
359050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151122
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
151123
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
151124
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
151125
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
830877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151126
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
830879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151127
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
830882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151128
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151129
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198363
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151130
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
200220
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
151121151122151123151124151125151126151127151128151129151130