Displaying 228341-228350 of 1611142 results.
ID:
228341
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228342
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
228343
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228344
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228345
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228346
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228347
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228348
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228349
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228350
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
228341228342228343228344228345228346228347228348228349228350