Displaying 107351-107360 of 1611142 results.
ID:
107351
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
544455
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107352
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
617322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107353
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
863599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107354
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
995241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107355
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107356
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
107357
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107358
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107359
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107360
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
107351107352107353107354107355107356107357107358107359107360