Displaying 110051-110060 of 1611142 results.
ID:
110051
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110052
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110053
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110054
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110055
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110056
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110057
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110058
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110059
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
110060
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
110051110052110053110054110055110056110057110058110059110060