Displaying 112711-112720 of 1611142 results.
ID:
112711
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
904571
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112712
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
904583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112713
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
904593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112714
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112715
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
835958
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112716
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
834346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112717
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
993466
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112718
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112719
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
112720
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
112711112712112713112714112715112716112717112718112719112720