Displaying 216331-216340 of 1611142 results.
ID:
216331
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243014
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
216332
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601394
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
216333
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601386
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
216334
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
216335
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1987734
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216336
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058922
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216337
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2103175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
216338
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2103179
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216339
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
810075
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216340
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
810079
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
216331216332216333216334216335216336216337216338216339216340