Displaying 110561-110570 of 1611142 results.
ID:
110561
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110562
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370770
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
110563
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
855671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110564
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
311679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110565
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
105583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110566
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
199378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110567
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
402505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110568
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
402506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110569
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110570
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
577237
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
110561110562110563110564110565110566110567110568110569110570