Displaying 229681-229690 of 1611142 results.
ID:
229681
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1870225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
229682
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
242831
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229683
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
239239
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229684
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229685
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
903857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229686
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856656
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229687
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856660
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229688
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856652
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229689
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229690
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
229681229682229683229684229685229686229687229688229689229690