Displaying 109651-109660 of 1611142 results.
ID:
109651
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109652
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109653
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
109654
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109655
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109656
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
109657
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
109658
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
109659
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
109660
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
109651109652109653109654109655109656109657109658109659109660