Displaying 219281-219290 of 1611142 results.
ID:
219281
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219282
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988671
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219283
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988675
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219284
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219285
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
219286
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219287
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219288
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219289
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219290
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
219281219282219283219284219285219286219287219288219289219290