Displaying 224481-224490 of 1611142 results.
ID:
224481
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1999587
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
224482
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224483
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2373941
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224484
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049677
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224485
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224486
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
259966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224487
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224488
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224489
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224490
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
224481224482224483224484224485224486224487224488224489224490