Displaying 216641-216650 of 1611142 results.
ID:
216641
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310273
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216642
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
284245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216643
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
835886
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216644
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
866049
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216645
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
896019
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216646
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
896027
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
216647
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
896023
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216648
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216649
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
180
ID:
216650
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859088
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
216641216642216643216644216645216646216647216648216649216650