Displaying 118201-118210 of 1611142 results.
ID:
118201
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
995241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118202
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118203
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
118204
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118205
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118206
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118207
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118208
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118209
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118210
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
118201118202118203118204118205118206118207118208118209118210