Displaying 215981-215990 of 1611142 results.
ID:
215981
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1872458
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
215982
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
215983
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
215984
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1365979
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215985
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1537045
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215986
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215987
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215988
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
799040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
215989
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
799037
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
215990
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
215981215982215983215984215985215986215987215988215989215990