Displaying 118601-118610 of 1611142 results.
ID:
118601
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049343
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
365
ID:
118602
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118603
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118604
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118605
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118606
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118607
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118608
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118609
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118610
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
118601118602118603118604118605118606118607118608118609118610