Displaying 110161-110170 of 1611142 results.
ID:
110161
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110162
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110163
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198430
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110164
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
252478
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110165
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
103968
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110166
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
252479
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110167
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
110168
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
110169
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
110170
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
110161110162110163110164110165110166110167110168110169110170