Displaying 218531-218540 of 1611142 results.
ID:
218531
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364362
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218532
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364358
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218533
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2473042
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218534
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218535
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218536
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218537
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218538
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658221
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218539
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861604
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218540
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
218531218532218533218534218535218536218537218538218539218540