Displaying 109601-109610 of 1611142 results.
ID:
109601
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109602
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
992459
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109603
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
311678
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109604
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085728
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109605
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109606
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
628953
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109607
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
381056
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109608
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
206842
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109609
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
562251
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109610
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
617995
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
109601109602109603109604109605109606109607109608109609109610