Displaying 229471-229480 of 1611142 results.
ID:
229471
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1946522
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229472
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
727705
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
229473
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1655728
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
229474
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
180
ID:
229475
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
ID:
229476
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229477
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229478
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229479
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
229480
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
229471229472229473229474229475229476229477229478229479229480