Displaying 217321-217330 of 1611142 results.
ID:
217321
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539955
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217322
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217323
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217324
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217325
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1000
Qty Limit Days:
28
ID:
217326
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217327
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
217328
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
217329
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217330
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
217321217322217323217324217325217326217327217328217329217330