Displaying 108481-108490 of 1611142 results.
ID:
108481
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
108482
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108483
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
108484
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547114
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
108485
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547118
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
108486
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108487
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108488
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108489
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
108490
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
108481108482108483108484108485108486108487108488108489108490