Displaying 113851-113860 of 1611142 results.
ID:
113851
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113852
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113853
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1540241
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113854
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
113855
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113856
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113857
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113858
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113859
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
113860
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
113851113852113853113854113855113856113857113858113859113860