Displaying 117371-117380 of 1611142 results.
ID:
117371
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
117372
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
404013
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117373
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
404011
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117374
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
597990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117375
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
597984
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117376
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
597993
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117377
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
597967
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117378
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
597980
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117379
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
597974
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117380
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
597987
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
117371117372117373117374117375117376117377117378117379117380