Displaying 117711-117720 of 1611142 results.
ID:
117711
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
117712
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
7
ID:
117713
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
861353
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117714
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117715
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117716
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117717
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117718
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117719
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198036
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
117720
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
117711117712117713117714117715117716117717117718117719117720