Displaying 117441-117450 of 1611142 results.
ID:
117441
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797895
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117442
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117443
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117444
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117445
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
117446
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
19
Qty Limit Days:
30
ID:
117447
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117448
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117449
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117450
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
117441117442117443117444117445117446117447117448117449117450