Displaying 223511-223520 of 1611142 results.
ID:
223511
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223512
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223513
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223514
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223515
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223516
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223517
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223518
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197956
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223519
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197958
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223520
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
223511223512223513223514223515223516223517223518223519223520