Displaying 361-370 of 1611142 results.
ID:
361
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
362
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
363
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
364
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
365
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
366
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
367
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
368
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
369
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
370
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
361362363364365366367368369370