Displaying 115301-115310 of 1611142 results.
ID:
115301
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
312831
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
115302
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
312832
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
115303
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
314211
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
115304
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115305
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115306
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
115307
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
115308
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
312817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115309
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
115310
Formulary ID:
00021043
Formulary Version:
14
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
115301115302115303115304115305115306115307115308115309115310