Displaying 230641-230650 of 1611142 results.
ID:
230641
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230642
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230643
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230644
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
230645
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
230646
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230647
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230648
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230649
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230650
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
230641230642230643230644230645230646230647230648230649230650