Displaying 108691-108700 of 1611142 results.
ID:
108691
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
108692
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
108693
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
108694
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108695
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049858
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
108696
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049862
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
108697
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1855527
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108698
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921240
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108699
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921245
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108700
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726846
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
108691108692108693108694108695108696108697108698108699108700