Displaying 222801-222810 of 1611142 results.
ID:
222801
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222802
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659139
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222803
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222804
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
222805
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
222806
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
222807
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
222808
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222809
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222810
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
222801222802222803222804222805222806222807222808222809222810