Displaying 205671-205680 of 1611142 results.
ID:
205671
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
205672
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
205301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205673
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205674
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
856724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205675
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
856733
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205676
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205677
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197577
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205678
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
343033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205679
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197579
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205680
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197580
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
205671205672205673205674205675205676205677205678205679205680