Displaying 117051-117060 of 1611142 results.
ID:
117051
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117052
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117053
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117054
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117055
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117056
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117057
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197956
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117058
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
197958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117059
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117060
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
117051117052117053117054117055117056117057117058117059117060