Displaying 113741-113750 of 1611142 results.
ID:
113741
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113742
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
113743
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113744
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113745
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1423080
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113746
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113747
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113748
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113749
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113750
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100184
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
113741113742113743113744113745113746113747113748113749113750