Displaying 209211-209220 of 1611142 results.
ID:
209211
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
209212
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
180
ID:
209213
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209214
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
209215
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2196900
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209216
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
180
ID:
209217
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1541594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209218
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209219
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
835835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209220
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
209211209212209213209214209215209216209217209218209219209220