Displaying 104851-104860 of 1611142 results.
ID:
104851
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
104852
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547114
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
104853
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547118
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
104854
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104855
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104856
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104857
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
104858
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
104859
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729311
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
104860
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
104851104852104853104854104855104856104857104858104859104860