Displaying 226761-226770 of 1611142 results.
ID:
226761
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226762
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
745302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226763
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
226764
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226765
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226766
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
226767
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
226768
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
226769
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
226770
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
226761226762226763226764226765226766226767226768226769226770