Displaying 220681-220690 of 1611142 results.
ID:
220681
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
238151
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220682
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220683
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220684
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220685
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
28
ID:
220686
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220687
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220688
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220689
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220690
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
220681220682220683220684220685220686220687220688220689220690