Displaying 108351-108360 of 1611142 results.
ID:
108351
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
483450
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
108352
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
483438
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
108353
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
483440
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
108354
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
483444
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
108355
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178403
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
108356
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
108357
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
108358
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
28
ID:
108359
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
108360
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
108351108352108353108354108355108356108357108358108359108360