Displaying 229701-229710 of 1611142 results.
ID:
229701
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229702
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229703
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229704
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229705
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229706
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229707
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229708
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229709
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229710
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
229701229702229703229704229705229706229707229708229709229710