Displaying 227761-227770 of 1611142 results.
ID:
227761
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227762
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227763
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227764
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1232591
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
227765
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1650201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227766
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227767
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227768
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227769
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227770
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
227761227762227763227764227765227766227767227768227769227770