Displaying 100701-100710 of 1611142 results.
ID:
100701
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100702
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100703
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100704
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100705
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100706
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
828373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100707
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
310274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100708
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
30
ID:
100709
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
30
ID:
100710
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
100701100702100703100704100705100706100707100708100709100710