Displaying 218331-218340 of 1611142 results.
ID:
218331
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218332
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
260218
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218333
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
205324
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218334
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218335
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218336
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218337
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218338
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218339
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218340
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
218331218332218333218334218335218336218337218338218339218340