Displaying 105481-105490 of 1611142 results.
ID:
105481
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105482
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123111
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
105483
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
198071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105484
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197541
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
105485
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
753478
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105486
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
753479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105487
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1428933
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105488
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091828
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105489
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
351173
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
105490
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
351174
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
105481105482105483105484105485105486105487105488105489105490