Displaying 217751-217760 of 1611142 results.
ID:
217751
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
645037
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217752
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217753
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
577154
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217754
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217755
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217756
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197986
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217757
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217758
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217759
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
217760
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
217751217752217753217754217755217756217757217758217759217760