Displaying 217041-217050 of 1611142 results.
ID:
217041
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313941
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
217042
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217043
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217044
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313450
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217045
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313451
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217046
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
308508
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217047
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217048
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000673
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217049
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
284254
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217050
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
207634
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
217041217042217043217044217045217046217047217048217049217050