Displaying 228151-228160 of 1611142 results.
ID:
228151
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
228152
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228153
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228154
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
228155
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228156
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
228157
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228158
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
857700
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
228159
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228160
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
228151228152228153228154228155228156228157228158228159228160