Displaying 217481-217490 of 1611142 results.
ID:
217481
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217482
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217483
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217484
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217485
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217486
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
217487
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
217488
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217489
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217490
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
217481217482217483217484217485217486217487217488217489217490