Displaying 104291-104300 of 1611142 results.
ID:
104291
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
616483
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
104292
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
312743
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
104293
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
637173
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104294
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
312840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
104295
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
314209
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
104296
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
199206
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
104297
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104298
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104299
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
197807
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104300
Formulary ID:
00021039
Formulary Version:
14
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
104291104292104293104294104295104296104297104298104299104300