Displaying 218311-218320 of 1611142 results.
ID:
218311
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218312
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218313
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218314
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218315
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218316
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218317
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
218318
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
218319
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
218320
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
218311218312218313218314218315218316218317218318218319218320