Displaying 100791-100800 of 1611142 results.
ID:
100791
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
100792
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100793
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100794
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100795
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
100796
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
100797
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
992438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100798
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100799
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100800
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
100791100792100793100794100795100796100797100798100799100800