Displaying 106851-106860 of 1611142 results.
ID:
106851
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
106852
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
795085
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106853
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
849599
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
106854
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
106855
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
106856
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
106857
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
106858
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
106859
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
106860
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
106851106852106853106854106855106856106857106858106859106860