Displaying 112501-112510 of 1611142 results.
ID:
112501
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
112502
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
112503
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
112504
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112505
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112506
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
112507
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860157
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
112508
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860129
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
112509
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860137
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
112510
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
112501112502112503112504112505112506112507112508112509112510