Displaying 214781-214790 of 1611142 results.
ID:
214781
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214782
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
352262
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214783
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
731229
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214784
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
205917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214785
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
214786
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
205923
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214787
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
205921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214788
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
205912
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214789
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
55
Qty Limit Days:
28
ID:
214790
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
212218
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
214781214782214783214784214785214786214787214788214789214790