Displaying 109471-109480 of 1611142 results.
ID:
109471
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
857560
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109472
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109473
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109474
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109475
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109476
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109477
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109478
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
109479
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
313941
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
109480
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
109471109472109473109474109475109476109477109478109479109480