Displaying 216171-216180 of 1611142 results.
ID:
216171
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
216172
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216173
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216174
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216175
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216176
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216177
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216178
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216179
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
216180
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
216171216172216173216174216175216176216177216178216179216180