Displaying 100641-100650 of 1611142 results.
ID:
100641
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
100642
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
100643
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
100644
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
100645
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
100646
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
100647
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100648
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100649
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100650
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
100641100642100643100644100645100646100647100648100649100650