Displaying 104911-104920 of 1611142 results.
ID:
104911
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2268227
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
104912
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
104913
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104914
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104915
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104916
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
104917
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
104918
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
28
ID:
104919
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
104920
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923338
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
104911104912104913104914104915104916104917104918104919104920