Displaying 209761-209770 of 1611142 results.
ID:
209761
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209762
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209763
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
209764
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
209765
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000093
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
209766
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
359697
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209767
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209768
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209769
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209770
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
209761209762209763209764209765209766209767209768209769209770