Displaying 229791-229800 of 1611142 results.
ID:
229791
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2109239
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229792
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2170993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
229793
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2173822
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
229794
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229795
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229796
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
207840
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229797
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2178081
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229798
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2178077
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229799
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229800
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
898367
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
229791229792229793229794229795229796229797229798229799229800