Displaying 109201-109210 of 1611142 results.
ID:
109201
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109202
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197963
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109203
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109204
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109205
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
856825
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109206
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109207
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109208
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109209
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
109210
Formulary ID:
00021042
Formulary Version:
14
Contract Year:
2021
RXCUI:
197960
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
109201109202109203109204109205109206109207109208109209109210