Displaying 104021-104030 of 1611142 results.
ID:
104021
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104022
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101465
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104023
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
104024
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
104025
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809513
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104026
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876671
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104027
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876673
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104028
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876674
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104029
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812434
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104030
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
104021104022104023104024104025104026104027104028104029104030