Displaying 226771-226780 of 1611142 results.
ID:
226771
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
388525
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
226772
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
360507
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226773
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226774
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226775
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226776
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
892494
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226777
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
892596
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226778
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
892345
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226779
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
894801
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226780
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
892352
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
226771226772226773226774226775226776226777226778226779226780