Displaying 109891-109900 of 1611142 results.
ID:
109891
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
311918
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
109892
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
314135
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
109893
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
310537
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109894
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
897722
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109895
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197942
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109896
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109897
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
861007
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
109898
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
861010
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
109899
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
109900
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
109891109892109893109894109895109896109897109898109899109900