Displaying 118841-118850 of 1611142 results.
ID:
118841
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
199353
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118842
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
199351
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118843
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
199352
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118844
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118845
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118846
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118847
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118848
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
118849
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
118850
Formulary ID:
00021045
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
118841118842118843118844118845118846118847118848118849118850