Displaying 224701-224710 of 1611142 results.
ID:
224701
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224702
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224703
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224704
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224705
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224706
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224707
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224708
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224709
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224710
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
224701224702224703224704224705224706224707224708224709224710