Displaying 107391-107400 of 1611142 results.
ID:
107391
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
25
ID:
107392
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
25
ID:
107393
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107394
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107395
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107396
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107397
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107398
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107399
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
905028
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
107400
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
905024
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
107391107392107393107394107395107396107397107398107399107400