Displaying 113801-113810 of 1611142 results.
ID:
113801
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122655
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113802
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122650
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113803
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122648
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113804
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122642
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113805
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
113806
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
795749
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113807
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809520
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113808
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113809
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665107
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113810
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
309072
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
113801113802113803113804113805113806113807113808113809113810