Displaying 108381-108390 of 1611142 results.
ID:
108381
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
108382
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467575
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
108383
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2286261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108384
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108385
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
311040
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
108386
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653196
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
108387
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653202
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
108388
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
351297
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
108389
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
847191
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
108390
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
108381108382108383108384108385108386108387108388108389108390