Displaying 100031-100040 of 1611142 results.
ID:
100031
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
100032
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
100033
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
100034
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100035
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
794610
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100036
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
831870
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100037
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
850457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100038
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1236632
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100039
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100040
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
758555
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
100031100032100033100034100035100036100037100038100039100040