Displaying 225271-225280 of 1611142 results.
ID:
225271
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
866905
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225272
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
751553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225273
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225274
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225275
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225276
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1989507
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225277
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1053697
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
225278
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197849
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225279
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1876920
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225280
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1876924
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
225271225272225273225274225275225276225277225278225279225280