Displaying 106751-106760 of 1611142 results.
ID:
106751
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106752
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106753
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106754
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
851750
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106755
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106756
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106757
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106758
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2107008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106759
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1550536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106760
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2104192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
106751106752106753106754106755106756106757106758106759106760