Displaying 217071-217080 of 1611142 results.
ID:
217071
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217072
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217073
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
217074
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
217075
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217076
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
217077
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
996572
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
98
Qty Limit Days:
28
ID:
217078
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217079
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217080
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
217071217072217073217074217075217076217077217078217079217080