Displaying 223201-223210 of 1611142 results.
ID:
223201
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313451
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223202
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308508
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223203
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223204
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
284254
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223205
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
207634
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223206
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197900
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
223207
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
223208
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197902
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
223209
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311386
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223210
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
223201223202223203223204223205223206223207223208223209223210