Displaying 106341-106350 of 1611142 results.
ID:
106341
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
616541
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
106342
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106343
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106344
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106345
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1013930
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106346
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106347
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
106348
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
313306
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106349
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
856980
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
106350
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
348472
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
106341106342106343106344106345106346106347106348106349106350