Displaying 108991-109000 of 1611142 results.
ID:
108991
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108992
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108993
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108994
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108995
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108996
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108997
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
311033
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
108998
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
311027
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
108999
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
109000
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
108991108992108993108994108995108996108997108998108999109000