Displaying 113581-113590 of 1611142 results.
ID:
113581
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113582
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113583
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113584
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1013930
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113585
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113586
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113587
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
313306
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113588
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
856980
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
113589
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
348472
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113590
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
282401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
113581113582113583113584113585113586113587113588113589113590