Displaying 110041-110050 of 1611142 results.
ID:
110041
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
110042
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
110043
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110044
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
110045
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
110046
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
110047
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110048
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110049
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
110050
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
110041110042110043110044110045110046110047110048110049110050