Displaying 227241-227250 of 1611142 results.
ID:
227241
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227242
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
227243
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227244
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227245
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227246
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227247
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
856987
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
227248
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
856992
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
227249
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311989
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227250
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
227241227242227243227244227245227246227247227248227249227250