Displaying 217161-217170 of 1611142 results.
ID:
217161
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217162
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
217163
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1657173
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
217164
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1657160
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
217165
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217166
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
217167
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217168
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217169
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217170
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
217161217162217163217164217165217166217167217168217169217170