Displaying 117011-117020 of 1611142 results.
ID:
117011
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117012
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117013
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117014
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091155
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117015
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091170
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117016
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091185
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
117017
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091210
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117018
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
808751
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117019
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
808753
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
117020
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
808744
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
117011117012117013117014117015117016117017117018117019117020