Displaying 109541-109550 of 1611142 results.
ID:
109541
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109542
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109543
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
109544
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
109545
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
28
ID:
109546
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
109547
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723478
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
109548
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
109549
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
109550
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100706
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
109541109542109543109544109545109546109547109548109549109550