Displaying 229601-229610 of 1611142 results.
ID:
229601
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229602
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
617309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229603
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
617316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229604
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229605
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
757707
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229606
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
403957
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229607
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229608
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229609
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229610
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
229601229602229603229604229605229606229607229608229609229610