Displaying 215861-215870 of 1611142 results.
ID:
215861
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
215862
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215863
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
260260
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215864
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
311382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215865
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1366550
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215866
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
215867
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215868
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215869
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215870
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
215861215862215863215864215865215866215867215868215869215870