Displaying 110251-110260 of 1611142 results.
ID:
110251
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110252
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
884520
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
110253
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110254
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110255
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110256
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110257
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110258
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110259
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110260
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
110251110252110253110254110255110256110257110258110259110260