Displaying 109001-109010 of 1611142 results.
ID:
109001
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
109002
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
109003
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
109004
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
109005
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
109006
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
109007
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
109008
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
109009
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
109010
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
109001109002109003109004109005109006109007109008109009109010