Displaying 107481-107490 of 1611142 results.
ID:
107481
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204102
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
107482
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107483
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107484
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107485
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
107486
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
107487
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
107488
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939335
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
107489
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107490
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
315183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
107481107482107483107484107485107486107487107488107489107490