Displaying 225191-225200 of 1611142 results.
ID:
225191
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312828
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225192
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312829
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225193
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312830
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225194
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312831
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225195
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312832
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225196
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314211
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
225197
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225198
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225199
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
225200
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
225191225192225193225194225195225196225197225198225199225200