Displaying 226061-226070 of 1611142 results.
ID:
226061
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226062
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226063
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311033
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226064
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311027
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
226065
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
226066
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1670023
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
226067
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1670016
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226068
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2107522
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226069
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226070
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
226061226062226063226064226065226066226067226068226069226070