Displaying 200781-200790 of 1611142 results.
ID:
200781
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
200782
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
200783
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
200784
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200785
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200786
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
200787
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
200788
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
200789
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200790
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
200781200782200783200784200785200786200787200788200789200790