Displaying 120211-120220 of 1611142 results.
ID:
120211
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120212
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120213
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120214
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120215
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120216
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120217
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120218
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120219
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120220
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
120211120212120213120214120215120216120217120218120219120220