Displaying 216931-216940 of 1611142 results.
ID:
216931
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216932
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216933
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
216934
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216935
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216936
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216937
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216938
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1606490
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216939
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859983
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216940
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859979
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
216931216932216933216934216935216936216937216938216939216940