Displaying 228051-228060 of 1611142 results.
ID:
228051
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
228052
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2054995
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228053
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
809477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228054
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
228055
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228056
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228057
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228058
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
205918
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228059
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
205922
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228060
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
205924
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
228051228052228053228054228055228056228057228058228059228060