Displaying 110211-110220 of 1611142 results.
ID:
110211
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110212
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
110213
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
110214
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110215
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110216
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110217
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797895
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
110218
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110219
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110220
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
110211110212110213110214110215110216110217110218110219110220