Displaying 219911-219920 of 1611142 results.
ID:
219911
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
219912
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219913
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
219914
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918042
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
219915
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219916
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
219917
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219918
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219919
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219920
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
603208
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
219911219912219913219914219915219916219917219918219919219920