Displaying 107881-107890 of 1611142 results.
ID:
107881
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
861646
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
107882
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
861650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
107883
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
861654
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
107884
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
107885
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
107886
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
107887
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
107888
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107889
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107890
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
107881107882107883107884107885107886107887107888107889107890