Displaying 227801-227810 of 1611142 results.
ID:
227801
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1431104
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
227802
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1597575
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
227803
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227804
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227805
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227806
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1433736
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
28
ID:
227807
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
227808
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227809
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227810
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1605088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
227801227802227803227804227805227806227807227808227809227810