Displaying 219361-219370 of 1611142 results.
ID:
219361
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
219362
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
997170
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
219363
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
219364
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
219365
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219366
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219367
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219368
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219369
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219370
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2400
Qty Limit Days:
30
219361219362219363219364219365219366219367219368219369219370