Displaying 103931-103940 of 1611142 results.
ID:
103931
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103932
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
855873
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103933
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2360548
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103934
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
308989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103935
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
308988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103936
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197443
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103937
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099678
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103938
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
103939
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356563
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
103940
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356572
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
103931103932103933103934103935103936103937103938103939103940