Displaying 229801-229810 of 1611142 results.
ID:
229801
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229802
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229803
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229804
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229805
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229806
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229807
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229808
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229809
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
229810
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
229801229802229803229804229805229806229807229808229809229810