Displaying 210251-210260 of 1611142 results.
ID:
210251
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539955
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210252
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210253
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
210254
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210255
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1000
Qty Limit Days:
28
ID:
210256
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210257
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
210258
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
210259
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
210260
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
210251210252210253210254210255210256210257210258210259210260