Displaying 227901-227910 of 1611142 results.
ID:
227901
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227902
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227903
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
727537
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227904
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1991509
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227905
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
858125
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227906
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
858127
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227907
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227908
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227909
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
227910
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
227901227902227903227904227905227906227907227908227909227910