Displaying 216791-216800 of 1611142 results.
ID:
216791
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
216792
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
216793
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216794
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216795
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
876514
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216796
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216797
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
876519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216798
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216799
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216800
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
966221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
216791216792216793216794216795216796216797216798216799216800