Displaying 223501-223510 of 1611142 results.
ID:
223501
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539953
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223502
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539955
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223503
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223504
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223505
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223506
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1000
Qty Limit Days:
28
ID:
223507
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
223508
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
223509
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223510
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
223501223502223503223504223505223506223507223508223509223510