Displaying 224011-224020 of 1611142 results.
ID:
224011
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224012
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242819
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224013
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242815
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224014
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
692757
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224015
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224016
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224017
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
477367
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224018
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
477372
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224019
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
224020
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
224011224012224013224014224015224016224017224018224019224020