Displaying 107131-107140 of 1611142 results.
ID:
107131
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991509
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107132
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1865962
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107133
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107134
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107135
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
107136
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
107137
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
107138
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107139
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107140
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
107131107132107133107134107135107136107137107138107139107140