Displaying 216961-216970 of 1611142 results.
ID:
216961
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198202
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216962
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
857677
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216963
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1245443
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216964
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1245373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216965
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309329
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216966
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216967
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216968
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216969
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
216970
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
216961216962216963216964216965216966216967216968216969216970