Displaying 221091-221100 of 1611142 results.
ID:
221091
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597575
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221092
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221093
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221094
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221095
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
221096
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221097
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221098
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221099
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197512
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221100
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313990
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
221091221092221093221094221095221096221097221098221099221100