Displaying 107001-107010 of 1611142 results.
ID:
107001
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
107002
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107003
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107004
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107005
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
107006
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
10
ID:
107007
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107008
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2465556
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107009
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107010
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
107001107002107003107004107005107006107007107008107009107010