Displaying 217331-217340 of 1611142 results.
ID:
217331
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217332
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217333
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217334
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217335
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217336
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217337
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217338
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197956
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217339
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197958
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217340
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
217331217332217333217334217335217336217337217338217339217340