Displaying 226681-226690 of 1611142 results.
ID:
226681
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2359290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226682
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2359353
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226683
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2359358
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226684
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226685
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
702519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226686
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
314182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226687
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
885219
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226688
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
885213
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226689
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
859315
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
226690
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1049635
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
226681226682226683226684226685226686226687226688226689226690