Displaying 107891-107900 of 1611142 results.
ID:
107891
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107892
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
107893
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
896184
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
107894
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
896209
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
107895
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
896228
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
107896
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
107897
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
107898
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
107899
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
107900
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
107891107892107893107894107895107896107897107898107899107900