Displaying 109691-109700 of 1611142 results.
ID:
109691
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
109692
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
109693
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109694
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
858262
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109695
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109696
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109697
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109698
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109699
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
109700
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
109691109692109693109694109695109696109697109698109699109700