Displaying 110791-110800 of 1611142 results.
ID:
110791
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110792
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110793
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110794
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110795
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110796
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110797
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
110798
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
110799
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110800
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
110791110792110793110794110795110796110797110798110799110800