Displaying 110921-110930 of 1611142 results.
ID:
110921
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110922
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2373941
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110923
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049677
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110924
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110925
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
259966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110926
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110927
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
110928
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
110929
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
110930
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
110921110922110923110924110925110926110927110928110929110930