Displaying 231951-231960 of 1611142 results.
ID:
231951
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231952
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
404587
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231953
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231954
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
639888
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231955
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1744003
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231956
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1744007
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231957
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1744011
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231958
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
231959
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231960
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
231951231952231953231954231955231956231957231958231959231960