Displaying 217371-217380 of 1611142 results.
ID:
217371
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217372
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
485020
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217373
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
856364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217374
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217375
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217376
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217377
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217378
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217379
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217380
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
217371217372217373217374217375217376217377217378217379217380