Displaying 216731-216740 of 1611142 results.
ID:
216731
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216732
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
216733
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216734
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216735
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216736
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
730782
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216737
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1795470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216738
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1794886
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216739
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1795346
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216740
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310473
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
216731216732216733216734216735216736216737216738216739216740