Displaying 222911-222920 of 1611142 results.
ID:
222911
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222912
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222913
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222914
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222915
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222916
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
30
ID:
222917
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222918
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856797
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222919
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222920
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
222911222912222913222914222915222916222917222918222919222920