Displaying 216681-216690 of 1611142 results.
ID:
216681
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216682
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216683
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216684
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216685
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216686
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216687
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216688
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216689
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
904605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216690
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
904571
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
216681216682216683216684216685216686216687216688216689216690