Displaying 220701-220710 of 1611142 results.
ID:
220701
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197575
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220702
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
220703
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220704
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220705
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
220706
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
220707
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220708
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
220709
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220710
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
220701220702220703220704220705220706220707220708220709220710