Displaying 215591-215600 of 1611142 results.
ID:
215591
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
833461
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
215592
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215593
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215594
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490032
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215595
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490036
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215596
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490040
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215597
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
351156
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215598
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215599
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215600
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
215591215592215593215594215595215596215597215598215599215600