Displaying 108471-108480 of 1611142 results.
ID:
108471
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108472
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
731328
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108473
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108474
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108475
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547575
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
108476
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547110
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
108477
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
108478
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
108479
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
108480
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
108471108472108473108474108475108476108477108478108479108480