Displaying 219681-219690 of 1611142 results.
ID:
219681
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219682
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219683
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219684
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219685
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219686
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655960
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219687
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
859824
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219688
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219689
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
835840
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219690
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
835809
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
219681219682219683219684219685219686219687219688219689219690