Displaying 216971-216980 of 1611142 results.
ID:
216971
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216972
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216973
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216974
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
216975
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216976
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216977
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
216978
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216979
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
96
Qty Limit Days:
30
ID:
216980
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310497
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
216971216972216973216974216975216976216977216978216979216980