Displaying 226501-226510 of 1611142 results.
ID:
226501
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
857683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226502
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1000913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226503
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198202
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226504
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
857677
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226505
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1245443
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226506
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1245373
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226507
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
309329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226508
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226509
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226510
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
226501226502226503226504226505226506226507226508226509226510