Displaying 113321-113330 of 1611142 results.
ID:
113321
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113322
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113323
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
795918
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113324
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113325
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113326
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
996097
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113327
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113328
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113329
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113330
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
113321113322113323113324113325113326113327113328113329113330