Displaying 231711-231720 of 1611142 results.
ID:
231711
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1369724
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231712
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1369728
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231713
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1369732
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231714
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1369736
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231715
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1940376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231716
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1940372
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231717
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2197501
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231718
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2396770
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
231719
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2396774
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
231720
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2288433
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
180
231711231712231713231714231715231716231717231718231719231720