Displaying 109771-109780 of 1611142 results.
ID:
109771
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109772
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
109773
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
109774
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
109775
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
109776
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
109777
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
109778
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
730866
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109779
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
730861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109780
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
730872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
109771109772109773109774109775109776109777109778109779109780