Displaying 230251-230260 of 1611142 results.
ID:
230251
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
750267
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230252
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1095229
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230253
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
857560
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230254
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230255
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230256
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230257
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230258
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230259
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230260
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
28
230251230252230253230254230255230256230257230258230259230260