Displaying 222721-222730 of 1611142 results.
ID:
222721
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
222722
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
222723
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222724
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1655960
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222725
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
859824
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222726
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222727
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
835840
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222728
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
835809
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222729
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649988
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222730
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
222721222722222723222724222725222726222727222728222729222730