Displaying 217801-217810 of 1611142 results.
ID:
217801
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217802
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217803
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
217804
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
217805
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2197873
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
217806
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2197877
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
217807
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
205532
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
217808
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1592285
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
217809
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1868016
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
217810
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1868020
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
217801217802217803217804217805217806217807217808217809217810