Displaying 217671-217680 of 1611142 results.
ID:
217671
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
483090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217672
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
476399
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217673
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
476515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217674
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
217675
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217676
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
217677
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217678
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217679
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217680
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
217671217672217673217674217675217676217677217678217679217680