Displaying 107271-107280 of 1611142 results.
ID:
107271
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369732
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
107272
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369736
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
107273
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
107274
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940372
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
107275
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197501
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
107276
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2396770
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
107277
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2396774
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
107278
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288433
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107279
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288412
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
107280
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288431
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
107271107272107273107274107275107276107277107278107279107280