Displaying 214931-214940 of 1611142 results.
ID:
214931
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369728
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214932
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369732
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214933
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369736
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214934
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1940376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214935
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1940372
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214936
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2197501
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
214937
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2396770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214938
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2396774
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214939
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2288433
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
30
ID:
214940
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2288412
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
214931214932214933214934214935214936214937214938214939214940