Displaying 212681-212690 of 1611142 results.
ID:
212681
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2284106
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
212682
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
616287
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212683
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1541928
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212684
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
702296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212685
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
616292
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212686
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1357547
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
212687
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2048568
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
212688
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2478437
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
212689
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2099956
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212690
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
212681212682212683212684212685212686212687212688212689212690