Displaying 104071-104080 of 1611142 results.
ID:
104071
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399895
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
104072
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399898
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
104073
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
104074
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104075
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104076
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797113
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
104077
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399904
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
104078
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104079
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104080
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
104071104072104073104074104075104076104077104078104079104080