Displaying 217981-217990 of 1611142 results.
ID:
217981
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217982
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217983
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217984
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217985
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217986
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217987
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
217988
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
217989
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
217990
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
217981217982217983217984217985217986217987217988217989217990