Displaying 108031-108040 of 1611142 results.
ID:
108031
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108032
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1485332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108033
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108034
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1422081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108035
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1427300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108036
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108037
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1599949
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
108038
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108039
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
141850
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
108040
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
108031108032108033108034108035108036108037108038108039108040