Displaying 230991-231000 of 1611142 results.
ID:
230991
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230992
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230993
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230994
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
141859
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
230995
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
230996
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
230997
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
454
Qty Limit Days:
30
ID:
230998
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
454
Qty Limit Days:
30
ID:
230999
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
231000
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
230991230992230993230994230995230996230997230998230999231000