Displaying 218251-218260 of 1611142 results.
ID:
218251
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218252
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
259966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218253
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218254
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218255
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218256
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218257
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
218258
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218259
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218260
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
218251218252218253218254218255218256218257218258218259218260