Displaying 191101-191110 of 1611142 results.
ID:
191101
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
70
Qty Limit Days:
30
ID:
191102
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
30
ID:
191103
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
191104
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191105
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123314
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191106
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121096
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191107
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121100
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191108
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191109
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191110
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
191101191102191103191104191105191106191107191108191109191110