Displaying 215641-215650 of 1611142 results.
ID:
215641
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1996246
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215642
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
859081
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
215643
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
846192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215644
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
759697
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215645
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
759481
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215646
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2046376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
215647
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1486691
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215648
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111020
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215649
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653221
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215650
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2046380
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
215641215642215643215644215645215646215647215648215649215650