Displaying 213681-213690 of 1611142 results.
ID:
213681
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
892554
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
213682
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213683
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213684
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213685
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213686
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213687
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
584414
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213688
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
857297
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213689
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213690
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
857305
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
213681213682213683213684213685213686213687213688213689213690