Displaying 225331-225340 of 1611142 results.
ID:
225331
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225332
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225333
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225334
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225335
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198007
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225336
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225337
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225338
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
225339
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1731020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225340
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
403930
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
225331225332225333225334225335225336225337225338225339225340