Displaying 217681-217690 of 1611142 results.
ID:
217681
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217682
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217683
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217684
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217685
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217686
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217687
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217688
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217689
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217690
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1080
Qty Limit Days:
365
217681217682217683217684217685217686217687217688217689217690