Displaying 218821-218830 of 1611142 results.
ID:
218821
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
849833
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218822
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
218823
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
218824
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
218825
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
218826
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
218827
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
218828
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1996246
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218829
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
846192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218830
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
759697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
218821218822218823218824218825218826218827218828218829218830