Displaying 221301-221310 of 1611142 results.
ID:
221301
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221302
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221303
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221304
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197787
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221305
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221306
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221307
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221308
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221309
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221310
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
221301221302221303221304221305221306221307221308221309221310