Displaying 216231-216240 of 1611142 results.
ID:
216231
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216232
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216233
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216234
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216235
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216236
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216237
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216238
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216239
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
216240
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
216231216232216233216234216235216236216237216238216239216240