Displaying 229201-229210 of 1611142 results.
ID:
229201
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1435117
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
229202
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229203
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
229204
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229205
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
229206
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229207
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229208
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229209
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229210
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
229201229202229203229204229205229206229207229208229209229210