Displaying 215061-215070 of 1611142 results.
ID:
215061
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797847
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
23
Qty Limit Days:
30
ID:
215062
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215063
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215064
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215065
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
260218
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215066
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
205324
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
215067
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215068
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215069
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215070
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
485486
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
215061215062215063215064215065215066215067215068215069215070