Displaying 221561-221570 of 1611142 results.
ID:
221561
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
221562
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
221563
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221564
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221565
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221566
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221567
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
221568
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
221569
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
221570
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726639
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
221561221562221563221564221565221566221567221568221569221570