Displaying 231721-231730 of 1611142 results.
ID:
231721
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2288412
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231722
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2288431
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
37
Qty Limit Days:
180
ID:
231723
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
727816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
231724
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
231725
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2054995
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231726
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
809477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231727
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
231728
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
231729
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
231730
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
231721231722231723231724231725231726231727231728231729231730