Displaying 104041-104050 of 1611142 results.
ID:
104041
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
104042
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
104043
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
104044
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
104045
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
28
ID:
104046
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
104047
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
977923
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
104048
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
977929
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
104049
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
977874
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
104050
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
977894
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
104041104042104043104044104045104046104047104048104049104050