Displaying 116501-116510 of 1611142 results.
ID:
116501
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116502
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
116503
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
810096
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
116504
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
116505
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116506
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116507
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116508
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116509
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
116510
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
116501116502116503116504116505116506116507116508116509116510