Displaying 228081-228090 of 1611142 results.
ID:
228081
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228082
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228083
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228084
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228085
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228086
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228087
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228088
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228089
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228090
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
228081228082228083228084228085228086228087228088228089228090