Displaying 212931-212940 of 1611142 results.
ID:
212931
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
359493
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
212932
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
359494
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
212933
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1362706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212934
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212935
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212936
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197975
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212937
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
212938
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1303736
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
212939
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
828379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212940
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
212931212932212933212934212935212936212937212938212939212940