Displaying 229051-229060 of 1611142 results.
ID:
229051
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1986331
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229052
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1918230
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229053
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
229054
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229055
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229056
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
229057
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1806878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229058
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229059
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229060
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1720616
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
229051229052229053229054229055229056229057229058229059229060