Displaying 110131-110140 of 1611142 results.
ID:
110131
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110132
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110133
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1423080
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110134
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110135
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110136
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110137
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110138
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100184
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
110139
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110140
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
110131110132110133110134110135110136110137110138110139110140