Displaying 103421-103430 of 1611142 results.
ID:
103421
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103422
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103423
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103424
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103425
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103426
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103427
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103428
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
199370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103429
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103430
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
309309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
103421103422103423103424103425103426103427103428103429103430