Displaying 213321-213330 of 1611142 results.
ID:
213321
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
213322
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000093
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
213323
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
359697
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213324
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213325
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213326
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213327
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213328
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213329
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213330
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
213321213322213323213324213325213326213327213328213329213330