Displaying 221701-221710 of 1611142 results.
ID:
221701
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221702
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221703
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221704
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221705
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1680
Qty Limit Days:
28
ID:
221706
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
221707
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221708
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221709
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
221710
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
221701221702221703221704221705221706221707221708221709221710